{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T04:37:00Z","timestamp":1779338220683,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,1,21]],"date-time":"2018-01-21T00:00:00Z","timestamp":1516492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005416","name":"Norges Forskningsr\u00e5d","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005416","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004102","name":"Laerdal Foundation for Acute Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2018,5]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To characterize, among non\u2010breathing flaccid neonates at delivery, immediate heartrate and responses to ventilation in relation to the clinical diagnosis of fresh stillbirth (FSB<\/jats:styled-content>) or early neonatal death (END<\/jats:styled-content>) within 24\u00a0hours.<\/jats:p><\/jats:sec>Methods<\/jats:title>The present cross\u2010sectional study included all deliveries at Haydom Hospital in rural Tanzania between July 1, 2013, and July 31, 2016. Ventilation parameters and heartrate were recorded by monitors with ventilation and dry\u2010electrocardiography sensors. Perinatal characteristics were recorded on data forms by trained research assistants.<\/jats:p><\/jats:sec>Results<\/jats:title>Among 12\u00a0789 neonates delivered, 915 were ventilated; among ventilated neonates, there were 53 (6%) FSB<\/jats:styled-content>s and 64 (7%) END<\/jats:styled-content>s. Electrocardiography was used in 46 FSB<\/jats:styled-content>s and 55 END<\/jats:styled-content>s, and these neonates were included in a subanalysis. Initial heartrate was detected in 27 (59%) of 46 FSB<\/jats:styled-content>s and 52 (95%) of 55 END<\/jats:styled-content>s, and was lower in FSB<\/jats:styled-content>s (52\u00a0\u00b1\u00a019 vs 76\u00a0\u00b1\u00a037\u00a0bpm; P<\/jats:italic>=0.003). More END<\/jats:styled-content>s responded to ventilation (53% vs 9%; P<\/jats:italic><0.001), with heartrate increasing above 100\u00a0bpm. Heartrate at ventilation discontinuation was higher among END<\/jats:styled-content>s (115\u00a0\u00b1\u00a049 vs 52\u00a0\u00b1\u00a033\u00a0bpm; P<\/jats:italic><0.001).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Progression to FSB<\/jats:styled-content> or END<\/jats:styled-content> after intrapartum hypoxia\/anoxia is probably part of the same circulatory end\u2010process. Distinguishing FSB<\/jats:styled-content> from severely asphyxiated newborns is clinically difficult and probably influences estimated global perinatal mortality rates.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12430","type":"journal-article","created":{"date-parts":[[2017,12,18]],"date-time":"2017-12-18T02:02:38Z","timestamp":1513562558000},"page":"171-180","source":"Crossref","is-referenced-by-count":32,"title":["Fresh stillborn and severely asphyxiated neonates share a common hypoxic\u2013ischemic pathway"],"prefix":"10.1002","volume":"141","author":[{"given":"Hege L.","family":"Ersdal","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Intensive Care Stavanger University Hospital Stavanger Norway"},{"name":"Faculty of Health Sciences University of Stavanger Stavanger Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joar","family":"Eilevstj\u00f8nn","sequence":"additional","affiliation":[{"name":"Strategic Research Laerdal Medical\/Global Health Stavanger Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f8rgen E.","family":"Linde","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences University of Stavanger Stavanger Norway"},{"name":"Department of Pediatrics Stavanger University Hospital Stavanger Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Yeconia","sequence":"additional","affiliation":[{"name":"Department of Research Haydom Lutheran Hospital Haydom Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Estomih R.","family":"Mduma","sequence":"additional","affiliation":[{"name":"Department of Research Haydom Lutheran Hospital Haydom Tanzania"},{"name":"Department of Research Stavanger University Hospital Stavanger Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hussein","family":"Kidanto","sequence":"additional","affiliation":[{"name":"Department of Research Stavanger University Hospital Stavanger Norway"},{"name":"Department of Obstetrics Muhimbili National Hospital Dar es Salaam Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Perlman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Weill Cornell Medical College New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,1,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60497-9"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00120-8"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60496-7"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)00275-2"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00837-5"},{"key":"e_1_2_8_7_1","volume-title":"Foetal and Neonatal Physiology: A Comparative Study of the Changes at Birth","author":"Dawes GS","year":"1968"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.049924"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-1795"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-2112"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2011.12.011"},{"key":"e_1_2_8_12_1","unstructured":"The American Academy of Pediatrics.Heling Babies Survive \u2013 Helping Babies Breathe.http:\/\/www.helpingbabiesbreathe.org\/. Accessed July 1 2017."},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.06.020"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000281667.35113.a5"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050802559129"},{"key":"e_1_2_8_16_1","first-page":"841","article-title":"Term stillbirth: Causes and potential for prevention in Virginia","volume":"69","author":"Cruikshank DP","year":"1987","journal-title":"Obstet Gynecol"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01275.x"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-9-S1-S5"},{"key":"e_1_2_8_19_1","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1159\/000339481","article-title":"Intermittent detection of fetal heart rate abnormalities identify infants at greatest risk for fresh stillbirths, birth asphyxia, neonatal resuscitation, and early neonatal deaths in a limited\u2010resource setting: A prospective descriptive observational study at Haydom Lutheran Hospital","volume":"102","author":"Ersdal HL","year":"2012","journal-title":"Neonatology"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.01.012"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1159\/000445930"},{"key":"e_1_2_8_22_1","first-page":"138","article-title":"QRS detection using zero crossing counts","volume":"8","author":"K\u00f6hler BU","year":"2003","journal-title":"Prog Biomed Res"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2017.06.007"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3134"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306687"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0934"}],"container-title":["International Journal of Gynecology & Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12430","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12430","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T13:12:35Z","timestamp":1695561155000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12430"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,21]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1002\/ijgo.12430"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12430","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,21]]}}}