Table 1

SpO2 targets and FiO2 strategies from individual studies

StudyEnrolment period/locationGestation
(weeks)
FiO2 SpO2targets5 min SpO2study targets
DetectedNot metMetOvershot
Wang et al 26 2005–2007
USA
23–320.21 vs 1.0
n=31
  • FiO2↑ to aim for SpO2 <70% at 3 min or <85% at 5 min

  • FiO2↓ if SpOwas >95% any time

  • FiO2 1.0 given if heart rate was <100 bpm at 2 min or CM needed

  • Time 0 not stated

26 (84%)3 (10%)9 (29%)14 (45%)
Escrig et al 20 2005–2007
Spain
≤280.3–0.9
n=42
  • FiO2 adjusted by 0.1 every 30 s to aim for a SpO2 of 75% at 5 min and 85% at 10 min

  • FiO2 1.0 given if heart rate ≤60 bpm >30 s

  • Time 0 not stated

42 (100%)18 (43%)1 (2%)23 (55%)
Vento et al 21 2007–2008
Spain
≤280.3–0.9
n=78
Procedure as per Escrig et al 22 78 (100%)47 (60%)29 (37%)2 (3%)
Rabi27 2005–2007
Canada
≤320.21 vs 1.0
n=26
  • FiO2 adjusted by 0.2 every 15 s to aim for SpO85%–92%

  • 5%–10% changes made to maintain SpO2 within target range

  • FiO2 1.0 given if heart rate was <100 bpm for >30 s or CM needed

26 (100%)13 (50%)6 (23%)7 (27%)
Aguar et al 28 2010–2012
Spain
<300.3 vs 0.6
n=60
  • FiO2 adjusted according to internationally recommended SpO2 targets

  • Time 0 not stated

60 (100%)53 (88%)7 (12%)0
Rook et al 29 2008–2012 The Netherlands26+5–320.3 vs 0.6 n=193
  • FiO2 adjusted to target SpO2 of 88%–94% at 10 min of age

  • FiO2 decreased if SpOwas >94%

  • Time 0=at cord clamping

149 (77%)87 (45%)39 (20%)23 (12%)
Kapadia et al 30 2010–2011
USA
24–340.21% vs 1.0
n=51
  • Only infants <32 weeks included

  • Time 0 not stated

  • FiO2 0.21 group given extra oxygen if HR <100 bpm after effective ventilation, lower limit of term infant SpO2 (5 min 80%–85%) not reached. FiO2 1.0 if HR <60

  • FiO2 adjusted 10% every 30 s to maintain SpO2 in IQR

  • FiO2 1.0 group had oxygen reduced by 0.1 q30s to meet SpO85%–94%

51 (100%)18 (35%)4 (8%)29 (57%)
Oei et al 25 2009–2014
Australia
Malaysia
Qatar
<31+60.21 vs 1.0
n=287
  • FiO2 increased by 0.1 if SpO2 was <65% before 5 min or <80% after 5 min

  • FiO2 decreased by 0.1 if SpO>95%.

  • FiO2 increased to 1.0 if heart rate <100 bpm or SpO<65% at 5 min or if CM was required

  • Time 0=at cord clamping

274 (96%)104 (36%)64 (22%)106 (37%
Total768706 (92%)343 (49%)159 (23%)204 (29%)
  • CC, cord clampling; CM, cardiac massage; FiO2, fraction of inspired oxygen; HR, heart rate; NS, not stated; SpO2, pulse oximetry.