Abstract

Aim: Neonatal mortality rate, which could possibly be reduced by employment of several approued and low-cost treatment approaches, has not been changed in the past several years. Besides, this rate has been increased in some countries. The objectives of this study are to find out the freguency of resuscitations in the delivery room and to investigate the accompanying risk factors. Methods: All infants born in Ekrem Hayri Üstündağ Obstetrics and Gynecology Hospital were investigated in terms of treatment approaches and the need for resuscitation according to risk factors in the delivery room and clinical follow. Noninuasiue (via mask) positive-pressure ventilation (NPPV), endotracheal intubation and intravenous drug administration were accepted as resuscitation procedures. Results: Resuscitation was applied to 1.7% (n=31) of 1845 newborns, 383 of whom were prematures. Tactile stimulation and aspiration were aduquate treatments in 1690 (91.6%) cases, while NPPV was found to be the most commonly applied method within the resuscitation procedures (45.1%). The frequency of infants hauing risk factors were 56% (n=1041) and 87% (n=43) in all newborns and resuscitated newborns, respectively. A significant relation between the application of resuscitation and the presence of prematurity, fetal abnormality or multiple risk factors were determined (p<0.05). Eleven (35.5%) of the resuscitated infants died. Conclusions: We conclude that tactile stimulation and aspiration were the most common procedures to stimulate respiration in the delivery room, while the frequency of reguirement for resuscitation among ali deliveries was 1.7%, it was found increased with the presence of accompanying risk factors.