Physical stimulation of newborn infants in the delivery room

Gaertner, Vincent D.; Flemmer, Sophie A; Lorenz, Laila; Davis, Peter G; Kamlin, C. Omar F.

doi:10.1136/archdischild-2016-312311

Cited by 31 publications

(63 citation statements)

References 30 publications

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“…Stimulation was defined as any intervention provided to the baby under the infant warmer, [ 6 , 11 , 15 ] including back rub (any rub to the back), foot flick (any stimulation targeting the sole, i.e. flicking or rubbing), chest rub (any rub to the front or side of the thorax) and abdomen rub (any rub to the front or side of the abdomen).…”

Section: Methodsmentioning

confidence: 99%

“…Concurrent stimulations (i.e. flicking the foot while rubbing the chest) were recorded as separate stimulations [ 11 ]. Only the stimulations that led to a complete newborn recovery, without need for further resuscitation, were considered effective.…”

Section: Methodsmentioning

confidence: 99%

“…All interventions at birth were video-recorded with a camera installed above the radiant warmers and data were collected until the end of resuscitation maneuvers or until the video was stopped because the infant transitioned well and was brought to the mother. Two researchers (DT and AP) drafted a categorical scheme based on Gaertner et al [ 11 ] to identify the patterns of stimulation objectively. Two researchers (AP and AO) reviewed and evaluated all 150 videos of neonatal resuscitation, with a third researcher (SM) resolving any conflicts.…”

Section: Methodsmentioning

confidence: 99%

“…Dekker et al reviewed 164 neonatal stimulations at birth of infants with a gestational age of < 32 weeks and reported large variability in the use of tactile stimulation without a clearly demonstrable effect on infants [ 10 ]. Gaertner et al evaluated video recordings of 75 stimulated infants, including very preterm infants, and suggested that truncal stimulation (drying, chest rubs and back rubs) might be more effective than foot flicks [ 11 ]. All authors indicated the need for further studies in order to confirm such preliminary findings.…”

Section: Introductionmentioning

confidence: 99%

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Neonatal tactile stimulation at birth in a low-resource setting

et al. 2018

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BackgroundStimulation is the most common intervention during neonatal resuscitation at birth, but scarce information is available on the actual methods, timing and efficacy of this basic step. To evaluate the occurrence, patterns and response to tactile stimulation at birth in a low-resource setting.MethodsWe reviewed 150 video recordings of neonatal resuscitation at Beira Central Hospital (Beira, Mozambique). Timing, method, duration and response to tactile stimulation were evaluated.ResultsOne hundred two out of 150 neonates (68.0%) received stimulation, while the remaining 48 (32.0%) received positive pressure ventilation and/or chest compressions directly. Overall, 546 stimulation episodes (median 4 episodes per subject, IQR 2–7) were performed. Median time to the first stimulation episode was 134 s (IQR 53–251); 29 neonates (28.4%) received stimulation within the first minute after birth. Multiple techniques of stimulation were administered in 66 neonates (64.7%), while recommended techniques (rubbing the back or flicking the soles of the feet) only in 9 (8.8%). Median duration of stimulation was 17 s (IQR 9–33). Only 9 neonates (8.8%) responded to stimulation.ConclusionsIn a low-resource setting, stimulation of newly born infants at birth is underperformed. Adherence to international guidelines is low, resulting in delayed initiation, inadequate technique, prolonged duration and low response to stimulation. Back rubs may provide some benefits, but large prospective studies comparing different methods of stimulation are required.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Neonatal tactile stimulation at birth in a low-resource setting

et al. 2018

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“…Data from four different centres was compared 2–5. Tactile stimulation was frequently used in three out of four centres, ranging from 63% to 96%.…”

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confidence: 99%

Tactile stimulation in the delivery room: do we practice what we preach?

Henten

Dekker

Pas

et al. 2019

Arch Dis Child Fetal Neonatal Ed

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Versorgung und Reanimation des Neugeborenen nach der Geburt

Madar

Roehr

Ainsworth³

et al. 2021

Notfall Rettungsmed

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Die vorliegenden Leitlinien des European Resuscitation Council zur Versorgung und Reanimation des Neugeborenen nach der Geburt beruhen auf dem International Liaison Committee on Resuscitation (ILCOR) 2020 Consensus on Science and Treatment Recommendations (CoSTR) for Neonatal Life Support (NLS). Sie beinhalten Empfehlungen zur Versorgung und Reanimation des reifen Neugeborenen und zur Stabilisierung des Frühgeborenen. Sie umfassen den aktualisierten Algorithmus zur Reanimation des Neugeborenen, die Vorbereitungen vor der Versorgung eines Neugeborenen, die Themen Training und Ausbildung, Wärmemanagement, Empfehlungen zum Abnabeln, die initiale Beurteilung und Einschätzung des Neugeborenen, das Atemwegsmanagement, inklusive einer Notfallbeatmung, und die Kreislaufunterstützung im Falle einer vollen Reanimation. Darüber hinaus finden sich Empfehlungen zur Kommunikation mit den Eltern und ethische Überlegungen, in welchen Situationen erwogen werden soll, auf Reanimationsmaßnahmen zu verzichten bzw. Reanimationsmaßnahmen nicht fortzuführen. Zusatzmaterial online Zusätzliche Informationen sind in der Online-Version dieses Artikels (10.1007/s10049-021-00894-w) enthalten.

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Physical stimulation of newborn infants in the delivery room

Cited by 31 publications

References 30 publications

Neonatal tactile stimulation at birth in a low-resource setting

Neonatal tactile stimulation at birth in a low-resource setting

Tactile stimulation in the delivery room: do we practice what we preach?

Versorgung und Reanimation des Neugeborenen nach der Geburt

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