{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T11:47:57Z","timestamp":1784375277148,"version":"3.55.0"},"reference-count":17,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2011,8,28]]},"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The authors had previously found flaws in resuscitation after severe neonatal asphyxia in cases selected on the grounds of suspected malpractice and financial compensation claims. The aim of the present study was to evaluate neonatal resuscitation in the general obstetric population in a setting with skilled attendance at birth.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Observational study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting and patients<\/jats:title>\n                  <jats:p>All infants born in the Stockholm County during 2004\u20132006 with a gestational age of \u226533 weeks, planned as vaginal delivery, with a normal cardiotocographic recording on admission to hospital and with an Apgar score of &lt;7 at 5 min were included.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main outcome measures<\/jats:title>\n                  <jats:p>Adherence to guidelines for neonatal resuscitation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Documentation was unsatisfactory in 142 (45%) infants. Other important shortcomings identified were delayed initiation of extensive resuscitation due to late paging or late arrival of attending paediatrician\/neonatologist (n=48), and unsatisfactory ventilation related to late intubation and late securing of free airway (n=15).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Substandard care in neonatal resuscitation is not limited to cases of severe asphyxia related to claims for medical malpractice. The overall documentation of neonatal resuscitation needs to be much better to enable accurate and reliable evaluation. Obvious actions to improve standards of care include the paging of skilled personnel at an earlier stage in cases of complicated deliveries and team and skills training in neonatal ventilation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/archdischild-2011-300295","type":"journal-article","created":{"date-parts":[[2011,10,27]],"date-time":"2011-10-27T21:51:19Z","timestamp":1319752279000},"page":"F204-F208","source":"Crossref","is-referenced-by-count":31,"title":["Neonatal resuscitation assessment: documentation and early paging must be improved!"],"prefix":"10.1136","volume":"97","author":[{"given":"Sophie","family":"Berglund","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikael","family":"Norman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2011,10,27]]},"reference":[{"key":"2025090512321817000_97.3.F204.1","unstructured":"Berglund S . Severe Asphyxia Due to Substandard Care During Labour. Thesis for Doctoral Degree. Stockholm: Karolinska Institutet, 2010."},{"key":"2025090512321817000_97.3.F204.2","doi-asserted-by":"crossref","unstructured":"Gluck PA Rayburn WF . Patients Safety in Obstetrics and Gynecology: Improving Outcomes, Reducing Risks. Obstetrics and Gynecology Clinics of North America. Volume 35. Philadelphia, PA: Elsevier 2008.","DOI":"10.1016\/j.ogc.2008.07.002"},{"key":"2025090512321817000_97.3.F204.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2008.00803.x"},{"key":"2025090512321817000_97.3.F204.4","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2010.09.011"},{"key":"2025090512321817000_97.3.F204.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2010.02565.x"},{"key":"2025090512321817000_97.3.F204.6","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0219"},{"key":"2025090512321817000_97.3.F204.7","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1111\/j.1651-2227.1995.tb13794.x","article-title":"Birth asphyxia: incidence, clinical course and outcome in a Swedish population","volume":"84","author":"Thornberg","year":"1995","journal-title":"Acta Paediatr"},{"key":"2025090512321817000_97.3.F204.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01602.x"},{"key":"2025090512321817000_97.3.F204.9","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.118505"},{"key":"2025090512321817000_97.3.F204.10","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2008.024612"},{"key":"2025090512321817000_97.3.F204.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-9572(01)00494-4"},{"key":"2025090512321817000_97.3.F204.12","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0350"},{"key":"2025090512321817000_97.3.F204.13","doi-asserted-by":"publisher","DOI":"10.1080\/00016340801996622"},{"key":"2025090512321817000_97.3.F204.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2006.05.003"},{"key":"2025090512321817000_97.3.F204.15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60244-0"},{"key":"2025090512321817000_97.3.F204.16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00800.x"},{"key":"2025090512321817000_97.3.F204.17","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0900854"}],"container-title":["Archives of Disease in Childhood - Fetal and Neonatal Edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/archdischild-2011-300295","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:32:28Z","timestamp":1757100748000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/archdischild-2011-300295"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,10,27]]},"references-count":17,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2012,4,17]]},"published-print":{"date-parts":[[2012,5]]}},"alternative-id":["10.1136\/archdischild-2011-300295"],"URL":"https:\/\/doi.org\/10.1136\/archdischild-2011-300295","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"value":"1359-2998","type":"print"},{"value":"1468-2052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10,27]]}}}