Deviations from Swedish guidelines for neonatal resuscitation in 2004–2006
| n/N | % | Apgar score ≤3 at 10 min* (n) | Death† (n) | |
|---|---|---|---|---|
| Unsatisfactory resuscitation | 17/313 | 5.4 | ||
| Artificial ventilation not started within 1 min after birth in cases of apnoea and fetal heart rate <100 beats/min | 5 | 1.6 | 0 | 0 |
| Endotracheal intubation not performed within 3 min after birth§ | 10 | 71 | 7 | 3 |
| Thoracic compressions not performed despite asystole‡ | 2 | 15 | 2 | 1 |
| Unsatisfactory drug administration | 8 | 43 | ||
| Epinephrine not provided despite asystole‡ or persistent bradycardia§ | 5 | 36 | 2 | 1 |
| No correction of metabolic acidosis despite asystole or persistent bradycardia§ | 1 | 7 | 0 | 0 |
| Buffer despite normal acid–base status | 2 | 0 | 0 | |
| Late arrival | 48 | 15 | ||
| Paediatrician, neonatologist or anaesthesiologist not present before birth¶ | 21 | 17 | 2 | 2 |
| Paediatrician, neonatologist or anaesthesiologist not arrived within 4 min after birth** | 27 | 22 | 2 | 2 |
| Untimely interruption of resuscitation | ||||
| Resuscitation not interrupted despite asystole for >15 min | 3 | 0.96 | 3 | 3 |
Study group: 313 infants with Apgar scores of <7 at 5 min.
↵* 21 infants had Apgar scores of ≤3 at 10 min of age.
↵† Eight infants died during the neonatal period.
‡ 13 infants had asystole at 1 min of age (Apgar score 0).
↵§ 14 infants had asystole or persistent bradycardia at 5 min of age (Apgar score ≤1).
↵¶ Complicated vaginal deliveries (n=121).
↵** In cases of unexpected asphyxia (n=124).