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Not Crying After Bi...
Not Crying After Birth as a Predictor of Not Breathing.
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- KC, Ashish, 1982 (author)
- Uppsala universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Global hälsa - implementering och hållbarhet,Society of Public Health Physicians Nepal, Kathmandu, Nepal
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Lawn, Joy E (author)
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Zhou, Hong (author)
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- Ewald, Uwe, 1945- (author)
- Uppsala universitet,Global hälsa - implementering och hållbarhet
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Gurung, Rejina (author)
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Gurung, Abhishek (author)
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Sunny, Avinash K (author)
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Day, Louise Tina (author)
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Singhal, Nalini (author)
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(creator_code:org_t)
- 2020-06-01
- 2020
- English.
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In: Pediatrics. - : American Academy of Pediatrics (AAP). - 1098-4275 .- 0031-4005. ; 145:6
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Abstract
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- Worldwide, every year, 6 to 10 million infants require resuscitation at birth according to estimates based on limited data regarding "nonbreathing" infants. In this article, we aim to describe the incidence of "noncrying" and nonbreathing infants after birth, the need for basic resuscitation with bag-and-mask ventilation, and death before discharge.We conducted an observational study of 19 977 infants in 4 hospitals in Nepal. We analyzed the incidence of noncrying or nonbreathing infants after birth. The sensitivity of noncrying infants with nonbreathing after birth was analyzed, and the risk of predischarge mortality between the 2 groups was calculated.The incidence of noncrying infants immediately after birth was 11.1%, and the incidence of noncrying and nonbreathing infants was 5.2%. Noncrying after birth had 100% sensitivity for nonbreathing infants after birth. Among the "noncrying but breathing" infants, 9.5% of infants did not breathe at 1 minute and 2% did not to breathe at 5 minutes. Noncrying but breathing infants after birth had almost 12-fold odds of predischarge mortality (adjusted odds ratio 12.3; 95% confidence interval, 5.8-26.1).All nonbreathing infants after birth do not cry at birth. A proportion of noncrying but breathing infants at birth are not breathing by 1 and 5 minutes and have a risk for predischarge mortality. With this study, we provide evidence of an association between noncrying and nonbreathing. This study revealed that noncrying but breathing infants require additional care. We suggest noncrying as a clinical sign for initiating resuscitation and a possible denominator for measuring coverage of resuscitation.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Keyword
- Asphyxia Neonatorum
- diagnosis
- epidemiology
- therapy
- Crying
- physiology
- Female
- Follow-Up Studies
- Humans
- Infant
- Newborn
- Male
- Nepal
- epidemiology
- Predictive Value of Tests
- Pregnancy
- Respiration
- Respiratory Mechanics
- physiology
- Resuscitation
- trends
Publication and Content Type
- ref (subject category)
- art (subject category)
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Pediatrics
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To the university's database
- By the author/editor
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KC, Ashish, 1982
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Lawn, Joy E
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Zhou, Hong
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Ewald, Uwe, 1945 ...
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Gurung, Rejina
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Gurung, Abhishek
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show more...
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Sunny, Avinash K
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Day, Louise Tina
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Singhal, Nalini
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Pediatrics
- Articles in the publication
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Pediatrics
- By the university
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University of Gothenburg
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Uppsala University