Significance of Neonatal Heart Rate in the Delivery Room—A Review
Background: Heart rate (HR) is considered the main vital sign in newborns during perinatal transition, with a threshold of 100 beats per minute (bpm), below which, intervention is recommended. However, recent changes in delivery room management, including delayed cord clamping, are likely to have in...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/9/1551 |
| _version_ | 1797580773379801088 |
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| author | Ellisiv Nerdrum Aagaard Anne Lee Solevåg Ola Didrik Saugstad |
| author_facet | Ellisiv Nerdrum Aagaard Anne Lee Solevåg Ola Didrik Saugstad |
| author_sort | Ellisiv Nerdrum Aagaard |
| collection | DOAJ |
| description | Background: Heart rate (HR) is considered the main vital sign in newborns during perinatal transition, with a threshold of 100 beats per minute (bpm), below which, intervention is recommended. However, recent changes in delivery room management, including delayed cord clamping, are likely to have influenced normal HR transition. Objective: To summarize the updated knowledge about the factors, including measurement methods, that influence HR in newborn infants immediately after birth. Additionally, this paper provides an overview of delivery room HR as a prognostic indicator in different subgroups of newborns. Methods: We searched PubMed, EMBASE, and Google Scholar with the terms infant, heart rate, delivery room, resuscitation, pulse oximetry, and electrocardiogram. Results: Seven studies that described HR values in newborn infants immediately after birth were included. Pulse oximetry-derived HR percentiles after immediate cord clamping may not be applicable to the current practice of delayed cord clamping and the increasing use of delivery room electrocardiograms. Mask ventilation may adversely affect HR, particularly in premature and non-asphyxiated infants. Prolonged bradycardia is a negative prognostic factor, especially if combined with hypoxemia in infants <32 weeks of gestation. Conclusions: HR assessment in the delivery room remains important. However, the cardiopulmonary transition is affected by delayed cord clamping, gestational age, and underlying conditions. |
| first_indexed | 2024-03-10T22:55:45Z |
| format | Article |
| id | doaj.art-e828f55e0013465795641e283961937d |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T22:55:45Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-e828f55e0013465795641e283961937d2023-11-19T10:04:06ZengMDPI AGChildren2227-90672023-09-01109155110.3390/children10091551Significance of Neonatal Heart Rate in the Delivery Room—A ReviewEllisiv Nerdrum Aagaard0Anne Lee Solevåg1Ola Didrik Saugstad2Division of Pediatric and Adolescent Medicine, Oslo University Hospital Rikshospitalet, 0424 Oslo, NorwayDivision of Pediatric and Adolescent Medicine, Oslo University Hospital Rikshospitalet, 0424 Oslo, NorwayDepartment of Pediatric Research, University of Oslo, 0424 Oslo, NorwayBackground: Heart rate (HR) is considered the main vital sign in newborns during perinatal transition, with a threshold of 100 beats per minute (bpm), below which, intervention is recommended. However, recent changes in delivery room management, including delayed cord clamping, are likely to have influenced normal HR transition. Objective: To summarize the updated knowledge about the factors, including measurement methods, that influence HR in newborn infants immediately after birth. Additionally, this paper provides an overview of delivery room HR as a prognostic indicator in different subgroups of newborns. Methods: We searched PubMed, EMBASE, and Google Scholar with the terms infant, heart rate, delivery room, resuscitation, pulse oximetry, and electrocardiogram. Results: Seven studies that described HR values in newborn infants immediately after birth were included. Pulse oximetry-derived HR percentiles after immediate cord clamping may not be applicable to the current practice of delayed cord clamping and the increasing use of delivery room electrocardiograms. Mask ventilation may adversely affect HR, particularly in premature and non-asphyxiated infants. Prolonged bradycardia is a negative prognostic factor, especially if combined with hypoxemia in infants <32 weeks of gestation. Conclusions: HR assessment in the delivery room remains important. However, the cardiopulmonary transition is affected by delayed cord clamping, gestational age, and underlying conditions.https://www.mdpi.com/2227-9067/10/9/1551infantsnewbornneonatal resuscitationheart ratepulse oximetryelectrocardiogram |
| spellingShingle | Ellisiv Nerdrum Aagaard Anne Lee Solevåg Ola Didrik Saugstad Significance of Neonatal Heart Rate in the Delivery Room—A Review Children infants newborn neonatal resuscitation heart rate pulse oximetry electrocardiogram |
| title | Significance of Neonatal Heart Rate in the Delivery Room—A Review |
| title_full | Significance of Neonatal Heart Rate in the Delivery Room—A Review |
| title_fullStr | Significance of Neonatal Heart Rate in the Delivery Room—A Review |
| title_full_unstemmed | Significance of Neonatal Heart Rate in the Delivery Room—A Review |
| title_short | Significance of Neonatal Heart Rate in the Delivery Room—A Review |
| title_sort | significance of neonatal heart rate in the delivery room a review |
| topic | infants newborn neonatal resuscitation heart rate pulse oximetry electrocardiogram |
| url | https://www.mdpi.com/2227-9067/10/9/1551 |
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