Retrospective study finds 61.09% of resuscitated newborns needed advanced care, suggesting regional service improvement.
The need for neonatal advanced resuscitation can differ by location and region, and there is limited information on the factors that affect this need. The research focused on assessing the rate of advanced resuscitation for newborns in northern Iran and identifying associated factors. This retrospective cross-sectional study investigated the newborn resuscitation steps in different departments of a maternity hospital over a 5-year period. Data on advanced resuscitation rates were analyzed. The study included 9247 live births, with 586 resuscitations analyzed. Among the resuscitated newborns, 358 (61.09%) required advanced resuscitation, representing 1.2% of all live births. The need for advanced resuscitation was significantly higher in NICU admissions (83.2%) compared to delivery room resuscitations (38.4%). The success rate was also higher for delivery room advanced resuscitations. Location, prematurity, and staff experience affect advanced resuscitation needs, underscoring the need for enhanced neonatal resuscitation services in low and middle-income regions.
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Soleymani et al. (2025) studied this question.
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