Document Detail


Cardiopulmonary resuscitation of apparently stillborn infants: survival and long-term outcome.
MedLine Citation:
PMID:  2019934     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine the outcome of apparently stillborn infants who received cardiopulmonary resuscitation, we studied the short- and long-term outcome of 93 infants who had an Apgar score of 0 at 1 minute of age and were resuscitated at birth. Sixty-two (66.6%) responded and left the delivery room alive; 26 (42%) of the 62 infants died in the neonatal period and 36 infants were discharged home; of the 36 infants, three subsequently died during infancy. Of the 33 survivors, ten were lost to follow-up after discharge. Developmental assessment of 23 of 33 long-term survivors revealed normal outcome in 14 (61.7%), abnormal results in 6 (26%), and suspect status in 3 (13%). Fifty-eight infants had an Apgar score of 0 at greater than or equal to 10 minutes of age and all except one died; the surviving infant has an abnormal developmental outcome. We conclude that 39% of apparently stillborn infants who were resuscitated survived beyond the neonatal period and that 61% of the 23 survivors who were available for developmental follow-up had normal development at the time of last examination. Survival was unlikely if there was no response after 10 minutes of resuscitation.
Authors:
L Jain; C Ferre; D Vidyasagar; S Nath; D Sheftel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  118     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  1991 May 
Date Detail:
Created Date:  1991-05-30     Completed Date:  1991-05-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  778-82     Citation Subset:  AIM; IM    
Affiliation:
Division of Neonatology, University of Illinois, Chicago 60612.
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Child Development
Child, Preschool
Female
Fetal Death / epidemiology,  therapy*
Follow-Up Studies
Humans
Illinois / epidemiology
Infant
Infant, Newborn
Neurologic Examination
Pregnancy
Pregnancy Outcome* / epidemiology
Psychomotor Performance
Resuscitation*
Comments/Corrections
Comment In:
J Pediatr. 1991 Dec;119(6):1007-8   [PMID:  1720456 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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