{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T05:30:05Z","timestamp":1761197405238},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2016,7,14]],"date-time":"2016-07-14T00:00:00Z","timestamp":1468454400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This population\u2010based study determined the delivery room management and outcomes of extremely preterm infants born with Apgar scores of 0.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We linked birth, neonatal intensive care unit (<jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>) and death records for babies who were born between 22 + 0 and 27 + 6 weeks of gestation with a one\u2010minute Apgar score of 0, in New South Wales, Australia, between 1998 and 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We classified 2173\/2262 (96%) of infants with a one\u2010minute Apgar score of 0 as stillborn. Resuscitation was provided for 48\/89 (54%) live births and 40\/2173 (2%) stillbirths. Cardiac massage was given to 44 infants, including three 22\u2010week stillborn babies. Of the 13 live births admitted to an <jats:styled-content style=\"fixed-case\">NICU<\/jats:styled-content>, 11 survived to hospital discharge. Most (98%) of the 2212 deaths occurred on the first day of life. One baby who was classified as stillborn lived for 51 days. Resuscitation increased the mean (95% confidence interval) duration of survival from 1 (0\u20132) to 45 (0\u2013104) hours (p &lt; 0.001). No infant with a five\u2010minute Apgar score of 0 survived.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Clinicians resuscitated extremely preterm infants without a detectable heartbeat, even at 22 weeks of gestation. No infant survived without resuscitation or if their heartbeat was not regained by five minutes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.13503","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T05:46:53Z","timestamp":1466660813000},"page":"1305-1311","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Population\u2010based study shows that resuscitating apparently stillborn extremely preterm babies is associated with poor outcomes"],"prefix":"10.1111","volume":"105","author":[{"given":"Morgan","family":"Haines","sequence":"first","affiliation":[{"name":"School of Women's and Children's Health University of New South Wales Randwick NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian M.","family":"Wright","sequence":"additional","affiliation":[{"name":"Illawarra Health and Medical Research Institute and Graduate School of Medicine The University of Wollongong Wollongong NSW Australia"},{"name":"Department of Paediatrics The Wollongong Hospital Wollongong NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Bajuk","sequence":"additional","affiliation":[{"name":"New South Wales Pregnancy and Newborn Services Network Westmead NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed E.","family":"Abdel\u2010Latif","sequence":"additional","affiliation":[{"name":"Department of Neonatology The Canberra Hospital Garran ACT Australia"},{"name":"Faculty of Medicine The Australian National University Deakin ACT Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Hilder","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health University of New South Wales Randwick NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Challis","sequence":"additional","affiliation":[{"name":"New South Wales Pregnancy and Newborn Services Network Westmead NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Guaran","sequence":"additional","affiliation":[{"name":"New South Wales Pregnancy and Newborn Services Network Westmead NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ju Lee","family":"Oei","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health University of New South Wales Randwick NSW Australia"},{"name":"Department of Newborn Care Royal Hospital for Women Randwick NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,7,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-195301000-00041"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31822200eb"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61135-1"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0069072"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-0368"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(86)80715-6"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2010.01937.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2008.00737.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(01)01352-7"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.braindev.2007.05.009"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-200X.2011.03463.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2002.121652"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2007.01118.x"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-3010"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2000.00517.x"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-2857"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12848"},{"key":"e_1_2_10_19_1","volume-title":"New South Wales mothers and babies report 2012","author":"Centre for Epidemiology and Evidence, NSW Ministry of Health","year":"2014"},{"key":"e_1_2_10_20_1","unstructured":"Centre for Health Record Linkage. Available at:www.Cherel.org.au."},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.11331"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2008.tb01822.x"},{"key":"e_1_2_10_23_1","unstructured":"World Health Organization Stillbirth Definition. Available from URLhttp:\/\/www.who.int\/maternal_child_adolescent\/epidemiology\/stillbirth\/en\/."},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)80046-0"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-2988"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2011.07.041"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fapa.13503","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.13503","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T03:12:38Z","timestamp":1696475558000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.13503"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,14]]},"references-count":25,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2016,11]]}},"alternative-id":["10.1111\/apa.13503"],"URL":"https:\/\/doi.org\/10.1111\/apa.13503","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,14]]},"assertion":[{"value":"2016-04-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-07-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}