Pulse oximetry in newborns with delayed cord clamping and immediate skin-to-skin contact

Marrit Smit, Jennifer Anne Dawson, Angelina Ganzeboom, Stuart Brian Hooper, Jos van Roosmalen, Arjan B Te Pas

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To assess whether defined reference ranges of oxygen saturation (SpO2) and heart rate (HR) of term infants after birth also apply for infants born after midwifery supervised uncomplicated vaginal birth, where delayed cord clamping (DCC) and immediate skin to skin contact (ISSC) is routine management. DESIGN: Prospective observational study. SETTING AND PATIENTS: Infants born vaginally after uncomplicated birth, that is, no augmentation, maternal pain relief or instrumental delivery. INTERVENTIONS: Midwives supervising uncomplicated birth at home or in hospital in the Leiden region (The Netherlands) used an oximeter and recorded SpO2 and HR in the first 10 min after birth. MAIN OUTCOME MEASURES: SpO2 and HR values were compared to the international defined reference ranges. RESULTS: In Leiden, values of 109 infants were obtained and are comparable with previously defined reference ranges, except for a higher SpO2 (p180 bpm) occurred less often, and a bradycardia (
Original languageEnglish
Pages (from-to)F309 - F314
Number of pages6
JournalArchives of Disease in Childhood: Fetal and Neonatal Edition
Issue number4
Publication statusPublished - 2014

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