{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T21:14:21Z","timestamp":1772918061191,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,12,2]],"date-time":"2012-12-02T00:00:00Z","timestamp":1354406400000},"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":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2013,1]]},"abstract":"Aim<\/jats:title>To describe decisions made for babies who died in the delivery room as a result of clinical practice of non\u2010resuscitation or unsuccessful resuscitation.<\/jats:p><\/jats:sec>Methods<\/jats:title>A retrospective study was conducted of neonatal deaths (NND<\/jats:styled-content>s) \u2265 400\u2009g and\/or \u226520 weeks' gestation born at M<\/jats:styled-content>ater M<\/jats:styled-content>others' H<\/jats:styled-content>ospitals 1998\u20132009 who were not admitted to a neonatal nursery. Deaths were divided into not resuscitated and unsuccessful resuscitation and subdivided by cause of death as extremely preterm, congenital abnormality or \u2018other\u2019.<\/jats:p><\/jats:sec>Results<\/jats:title>Of all 539 NND<\/jats:styled-content>s, 217 (40.3%) were not admitted to a neonatal nursery, comprising 174 (80.2%) not resuscitated and 41 (18.9%) unsuccessful resuscitation, while in a further two newborn infants resuscitation was not required. Only 13 of 123 (10.6%) extremely preterm infants who died in the delivery room had resuscitation attempted. Of 77 infants who died from congenital abnormalities in the delivery room 18 (23.3%) had resuscitation attempted. Fifteen babies with other diagnoses died in the delivery room; five with severe intrapartum asphyxia without resuscitation and a further 10 (8 preterm) with Apgar scores of 0\u20131 at 1\u2009min and \u22643 at 5\u2009min who did not respond to extensive resuscitation.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>A large proportion of NND<\/jats:styled-content>s occurred outside the neonatal nurseries involving end\u2010of\u2010life decision\u2010making. Review of the circumstances of these NND<\/jats:styled-content>s in the subcategories of extreme prematurity, congenital abnormalities and \u2018other\u2019 raises different management dilemmas with the potential for clinical practice improvement in compassionate care and transparency in decision\u2010making.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.12021","type":"journal-article","created":{"date-parts":[[2012,12,3]],"date-time":"2012-12-03T08:50:20Z","timestamp":1354524620000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Twelve\u2010year review of neonatal deaths in the delivery room in a perinatal tertiary centre"],"prefix":"10.1111","volume":"49","author":[{"given":"David","family":"Tudehope","sequence":"first","affiliation":[{"name":"School of Medicine University of Queensland Australia"},{"name":"Mothers and Babies Research Theme Mater Medical Research Institute Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Papadimos","sequence":"additional","affiliation":[{"name":"Mater Health Services Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Gibbons","sequence":"additional","affiliation":[{"name":"Mothers and Babies Research Theme Mater Medical Research Institute Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,12,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2010.202168"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2009.07.013"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2959"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2009.08.044"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2000.109144"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.3.505"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2009.07.019"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa073059"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-2797"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0194"},{"key":"e_1_2_8_12_1","unstructured":"ANZNN (Australian and New Zealand Neonatal Network).Report of the Australian and New Zealand Neonatal Network 2006. Sydney 2009."},{"key":"e_1_2_8_13_1","unstructured":"Mater Health Services.Mater Mothers' Hospitals Clinical Report 2008 Incorporating Outcomes from 1998 to 2007. Brisbane 2009."},{"key":"e_1_2_8_14_1","unstructured":"Mater Health Services.Mater Mothers' Hospitals Annual Clinical Report 2009 Incorporating Selected Clinical Outcomes for 2008. Brisbane 2009."},{"key":"e_1_2_8_15_1","unstructured":"TudehopeD GibbonsK FlenadyV IbiebeleI.Mater Mothers' Hospitals Clinical Report on Activity and Outcomes in 2009 Mater Health Services Brisbane. Brisbane 2011."},{"key":"e_1_2_8_16_1","unstructured":"FlenadyV KingJ CharlesAet\u2009al.PSANZ Clinical Practice Guideline for Perinatal Mortality.2009."},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.1996.tb00965.x"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.5.1070"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.4.781"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-0513"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.071928"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2009.171629"},{"key":"e_1_2_8_23_1","unstructured":"Women's Hospitals Australasia.Clinical Practice Guidelines: Provision of Care to Mother and Fetus\/Newborn at the Threshold of Neonatal Viability (22\u201325 weeks completed gestation).2005."}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpc.12021","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpc.12021","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.12021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T22:56:04Z","timestamp":1697324164000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.12021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,12,2]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1111\/jpc.12021"],"URL":"https:\/\/doi.org\/10.1111\/jpc.12021","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,12,2]]},"assertion":[{"value":"2012-01-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-12-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}