TITLE:
Short-Term Outcomes of Neonatal Resuscitation
AUTHORS:
Claude-Audrey Meguieze, Eric Nseme Etouckey, Isabelle Mekone Nkwele, Félicité Nguefack, Jocelyn Tony Nengom, Dominique Enyama, Cindy Brenda Ngassam, Ivan Eboutou, Rose Andréa Yaka, Jules Thierry Elong, Evelyn Mah, Paul Koki Ndombo
KEYWORDS:
Complications, Neonatal Resuscitation, Hypoxic Ischaemic Encephalopathy Cameroon
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.12 No.3,
July
13,
2022
ABSTRACT: Introduction: Neonatal resuscitation is a means to restore life to a baby from the
state of asphyxia. It can end in either survival or death. Survivors may
develop short-term complications in the immediate postnatal period. Objective: Determine the short-term outcomes following neonatal resuscitation. Materials and Methods: A retrospective
cross-sectional study was conducted for seven months running from November 2021
to June 2022 in two hospitals in Yaounde.
Admission files of newborns who benefited from neonatal resuscitation at birth
from the year 2019 to 2022 were included. We recorded the clinical
characteristics of newborns (gestational age, gender, and birth weight), the
frequency of transfers, the duration of admission, the rate and types of
complications in an operating sheet The results were analysed using IBM SPSS 23.0
software and the data expressed as frequencies, percentages, and means. The threshold of significance was set at 5%. Results: A total of 245
files of newborns who benefited from neonatal resuscitation were included. The
mean gestational age at delivery was 36.7 ± 3.6 weeks with a minimum and
maximum of 25 weeks and 46 weeks
respectively. 61.6% of newborns were born at term and were of the male sex
(55.5%, sex ratio of 1.25). The average birth weight was 2748.4 ± 794.3 g
(range: 800 - 5600 g) with 62.4% of newborns weighing between 2500 and 4000 g.
97.1% of the newborns were transferred to the neonatology unit with a median length of
hospitalization of 5 days. The
frequency of short-term complications during the study was 26.9% and
hypoxic-ischemic encephalopathy was the most common (97%). Newborns
resuscitated for more than 5 minutes were more likely to develop a short-term
complication. Conclusion: Hypoxic-ischaemic encephalopathy was the most
frequent complication post-resuscitation and a prolonged duration of resuscitation favoured the
development of short-term complications.