Documentation of neonatal resuscitation in 313 newborn infants with Apgar scores of <7 at 5 min of age
| n (%) | Apgar score ≤3 at 10 min* (n) | Death† (n) | |
|---|---|---|---|
| All resuscitation documentation missing in case record | 16 (5.1) | 0 | 2 |
| Unsatisfactory documentation, any‡ | 126 (40) | 3 | 3 |
| Acid–base status not documented§ | 58 (19) | 5 | 2 |
| Duration of artificial ventilation lacking‡ | 72 (24) | 2 | 2 |
| Duration of heart compressions lacking¶ | 8 (22) | 2 | 2 |
| Time for spontaneous breathing not noted‡ | 136 (46) | 1 | 3 |
| Time for endotracheal intubation not documented** | 18 (25) | 2 | 1 |
| No arrival time for skilled assistance in cases of unexpected asphyxia†† | 37 (30) | 0 | 0 |
| No arrival time for skilled assistance in cases of known complicated vaginal deliveries‡‡ | 27 (22) | 0 | 0 |
| Time for correction of acidosis not documented | 110 (62) | 5 | 3 |
Flaws in documentation categorised and related to severe asphyxia and/or death.
↵* 21 infants had Apgar scores of ≤3 at 10 min of age.
↵† Eight infants died during the neonatal period.
‡ Available documentation for 297 infants.
↵§ Study group, n=313.
↵¶ Heart compressions, n=36.
↵** Endotracheal intubation, n=72 infants.
↵†† n=124.
‡‡ n=121; 113 instrumental, 1 with shoulder dystocia and 7 breech deliveries.