Neonatal Resuscitation Practices in Turkey: A Survey of the Turkish Neonatal Society and the Union of European Neonatal and Perinatal Societies
Özet
Objective: Optimal care in the delivery room is important to decrease neonatal morbidity and mortality. We aimed to evaluate neonatal resuscitation practices in Turkish centers. Materials and Methods: A cross-sectional survey consisted of a 91-item questionnaire focused on delivery room practices in neonatal resuscitation and was sent to 50 Turkish centers. Hospitals with <2500 and those with ≥2500 births/year were compared. Results: In 2018, approximately 240 000 births occurred at participating hospitals with a median of 2630 births/year. Participating hospitals were able to provide nasal continuous-positive- airway-pressure/high-flow nasal cannula, mechanical ventilation, high-frequency oscillatory ventilation, inhaled nitric oxide, and therapeutic hypothermia similarly. Antenatal counseling was routinely performed on parents at 56% of all centers. A resuscitation team was present at 72% of deliveries. Umbilical cord management for both term and preterm infants was similar between centers. The rate of delayed cord clamping was approximately 60% in term and late preterm infants. Thermal management for preterm infants (<32 weeks) was similar. Hospitals had appropriate equipment with similar rates of interventions and management, except conti nuous-positive-airway-pressure and positive-end-expiratory-pressure levels (cmH2 O) used in preterm infants (P = .021, and P = .032). Ethical and educational aspects were also similar. Conclusions: This survey provided information on neonatal resuscitation practices in a sam-ple of hospitals from all regions of Turkey and allowed us to see weaknesses in some fields. Although adherence to the guidelines was high among centers, further implementations are required in the areas of antenatal counseling, cord management, and circulation assessment in the delivery room.
Anahtar kelimeler
Sürdürülebilir Kalkınma Amaçları
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SKA 3: Sağlıklı Bireyler
Atıf için künye
OKULU, E., KOÇ, E., ERDEVE, Ö., Akdağ, A., AKTAS, S., AYDEMİR, Ö., Aygün, C., Bayraktar, B. T., Cebeci, B., ÇELİK, H. T., Çelik, K., Engür, D., Ertuğrul, S., Fettah, N. D., Gültekin, N. D., Güçyetmez, Z. Ş. T., Gülen, P., Hirfanoğlu, İ. M., İnce, Z., … Yücesoy, E. (2023). Neonatal Resuscitation Practices in Turkey: A Survey of the Turkish Neonatal Society and the Union of European Neonatal and Perinatal Societies. Turkish Archives of Pediatrics, 58(3), 289–297. https://doi.org/10.5152/turkarchpediatr.2023.22281
BibTeX
@article{okulu2023-224044,
author = {OKULU, EMEL and KOÇ, ESİN and ERDEVE, ÖMER and Akdağ, Arzu and AKTAS, SELMA and AYDEMİR, ÖZGE and Aygün, Canan and Bayraktar, Bilge Tanyeri and Cebeci, Burcu and ÇELİK, HASAN TOLGA and Çelik, Kıymet and Engür, Defne and Ertuğrul, Sabahattin and Fettah, Nurdan Dinlen and Gültekin, Nazlı Dilay and Güçyetmez, Zatigül Şafak Taviloğlu and Gülen, Pelin and Hirfanoğlu, İbrahim Murat and İnce, Zeynep and Kader, Şebnem and Kahvecioğlu, Dilek and Kanburoğlu, Mehmet Kenan and Karagöl, Belma Saygılı and Kılıç, İlknur and Koroğlu, Özge Altun and Melekoğlu, Nuriye Aslı and Narter, Fatma and Olukman, Özgür and Ongun, Hakan and Ovalı, Fahri and Özer, Esra Arun and Özkan, Elif Özyazıcı and Öztürk, Dilek Yavuzcan and Özüdoğru, Ebru and Sarıcı, Dilek and Satar, Mehmet and Takçı, Şahin and Tanrıverdi, Sema and Taşkın, Erdal and Tayman, Cüneyt and Tekgündüz, Kadir Şerafettin and Tunç, Gaffari and Türkmen, Münevver Kaynak and Tüzün, Funda and Uslu, Sinan and Ünal, Sezin and Ünkar, Zeynep Alp and Yaman, Akan and Yaşa, Beril and Yıldırım, Şükran and Yılmaz, Aslan and Yılmaz, Fatma Hilal and Yücesoy, Ebru},
title = {Neonatal Resuscitation Practices in Turkey: A Survey of the Turkish Neonatal Society and the Union of European Neonatal and Perinatal Societies},
journal = {Turkish Archives of Pediatrics},
year = {2023},
volume = {58},
number = {3},
pages = {289--297},
issn = {2757-6256},
doi = {10.5152/turkarchpediatr.2023.22281},
url = {https://akademik.atauni.edu.tr/yayinlar/224044-neonatal-resuscitation-practices-in-turkey-a-survey-of-the-turkish-neonatal}
}