Abstract
There are few data to inform a decision to resuscitate babies who are unexpectedly stillborn. The outcome for 42 successfully resuscitated stillborn children, of whom 62% survived to be discharged home, is reported. Of the survivors, a poor outcome with severe disability was found in 23% (including one postneonatal death), equivocal outcome was found in 15% (two mild hypertonia; two with mild hemiplegia and no associated other disability) and 62% were free of any impairment at follow up 20 months to 8 years later. In 39 (93%) fetal problems had been identified and the resuscitation team was present at delivery. Poor outcome was associated with late return of heart beat, delayed respirations, neonatal acidaemia and early onset of seizures. Of the unexpected apparent stillbirths successfully resuscitated, 52% died or survived severely disabled, 10% had an equivocal outcome, but 36% survived apparently intact. Therefore, vigorous resuscitation is clearly indicated in these circumstances.
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Selected References
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- Jain L., Ferre C., Vidyasagar D., Nath S., Sheftel D. Cardiopulmonary resuscitation of apparently stillborn infants: survival and long-term outcome. J Pediatr. 1991 May;118(5):778–782. doi: 10.1016/s0022-3476(05)80046-0. [DOI] [PubMed] [Google Scholar]
- Marlow N. Do we need an Apgar score? Arch Dis Child. 1992 Jul;67(7 Spec No):765–767. doi: 10.1136/adc.67.7_spec_no.765. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Scott H. Outcome of very severe birth asphyxia. Arch Dis Child. 1976 Sep;51(9):712–716. doi: 10.1136/adc.51.9.712. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Steiner H., Neligan G. Perinatal cardiac arrest. Quality of the survivors. Arch Dis Child. 1975 Sep;50(9):696–702. doi: 10.1136/adc.50.9.696. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sykes G. S., Molloy P. M., Johnson P., Gu W., Ashworth F., Stirrat G. M., Turnbull A. C. Do Apgar scores indicate asphyxia? Lancet. 1982 Feb 27;1(8270):494–496. doi: 10.1016/s0140-6736(82)91462-3. [DOI] [PubMed] [Google Scholar]
- Thomson A. J., Searle M., Russell G. Quality of survival after severe birth asphyxia. Arch Dis Child. 1977 Aug;52(8):620–626. doi: 10.1136/adc.52.8.620. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yeo C. L., Tudehope D. I. Outcome of resuscitated apparently stillborn infants: a ten year review. J Paediatr Child Health. 1994 Apr;30(2):129–133. doi: 10.1111/j.1440-1754.1994.tb00596.x. [DOI] [PubMed] [Google Scholar]
- van Lieshout H. B., Jacobs J. W., Rotteveel J. J., Geven W., v't Hof M. The prognostic value of the EEG in asphyxiated newborns. Acta Neurol Scand. 1995 Mar;91(3):203–207. doi: 10.1111/j.1600-0404.1995.tb00435.x. [DOI] [PubMed] [Google Scholar]