Parturition and Fetal Adaptation

Lowe, Nancy K.; Reiss, Rosemary

doi:10.1111/j.1552-6909.1996.tb02580.x

“…Bulb suctioning of the mouth and nose is thought to aid in the removal of pulmonary fluid and facilitate the entrance of air. However, studies on fetal animals indicate that pulmonary fluid secretions begin to decline toward the end of gestation, and pulmonary micro‐circulation is primarily responsible for the absorption of lung fluid after birth 12 . These findings raise questions about the value of bulb suctioning in removal of lung fluid.…”

Section: Literature Reviewmentioning

confidence: 99%

Building Evidence for Practice: A Pilot Study of Newborn Bulb Suctioning at Birth

Waltman

¹

,

Brewer

²

,

Rogers

³

et al. 2004

J Midwife Womens Health

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The purpose of the study was to examine the effects of bulb suctioning on healthy, term newborns and the feasibility of conducting a large-scale study of this practice. In a randomized, controlled two-group design pilot study, 10 newborns received oronasopharyngeal bulb suctioning at birth and 10 did not. Differences in Apgar scores, heart rates, and oxygen saturation levels were determined. Infants were randomized to groups before delivery. The participants were 20 term, healthy newborns of uncomplicated pregnancies. Apgar scores, heart rates, and oxygen saturation levels in the first 20 minutes of life were the main outcome variables. There were no statistically significant differences in Apgar scores between groups. Apgar scores at 5 and 10 minutes were 9 or 10 for all newborns. Newborns receiving bulb suctioning showed a statistically significant, lower heart rate (P=.042) during the first 20 minutes and a significantly higher SpO2 level (P=.005) by 15 minutes of age. Although statistically significant, these findings were not considered clinically significant because values remained within normal parameters.

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“…Fetal pH is maintained within the normal narrow range thanks to placental exchanges that supply oxygen and remove respiratory and metabolic waste [1].…”

Section: Introductionmentioning

confidence: 99%

Placental histology in clinically unexpected severe fetal acidemia at term

Avagliano

¹

,

Locatelli

²

,

Danti

³

et al. 2015

Early Human Development

19

2

0

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“…However, studies on fetal animals indicate that pulmonary fluid secretions begin to decline toward the end of gestation, and pulmonary microcirculation is primarily responsible for the absorption of lung fluid after birth. 12 These findings raise questions about the value of bulb suctioning in removal of lung fluid.…”

Section: Literature Reviewmentioning

confidence: 99%

Building evidence for practice: a pilot study of newborn bulb suctioning at birth*1

Waltman¹

2004

Journal of Midwifery & Women?s Health

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The purpose of the study was to examine the effects of bulb suctioning on healthy, term newborns and the feasibility of conducting a large-scale study of this practice. In a randomized, controlled two-group design pilot study, 10 newborns received oronasopharyngeal bulb suctioning at birth and 10 did not. Differences in Apgar scores, heart rates, and oxygen saturation levels were determined. Infants were randomized to groups before delivery. The participants were 20 term, healthy newborns of uncomplicated pregnancies. Apgar scores, heart rates, and oxygen saturation levels in the first 20 minutes of life were the main outcome variables. There were no statistically significant differences in Apgar scores between groups. Apgar scores at 5 and 10 minutes were 9 or 10 for all newborns. Newborns receiving bulb suctioning showed a statistically significant, lower heart rate (P=.042) during the first 20 minutes and a significantly higher SpO2 level (P=.005) by 15 minutes of age. Although statistically significant, these findings were not considered clinically significant because values remained within normal parameters.

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Parturition and Fetal Adaptation

Cited by 11 publications

References 45 publications

Building Evidence for Practice: A Pilot Study of Newborn Bulb Suctioning at Birth

Building Evidence for Practice: A Pilot Study of Newborn Bulb Suctioning at Birth

Placental histology in clinically unexpected severe fetal acidemia at term

Building evidence for practice: a pilot study of newborn bulb suctioning at birth*1

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