{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T22:14:02Z","timestamp":1793916842671,"version":"4.8.0"},"reference-count":12,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2016,10,3]]},"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Current resuscitation guidelines suggest that it is reasonable to consider stopping resuscitation where no heart rate (cardiac activity) has been detected for 10\u2005min in a newborn baby from birth. We aimed to determine the mortality rate and 2-year neurodevelopmental outcome of all babies born with no heart rate before 10\u2005min of age where resuscitation was attempted in a tertiary referral centre over a 5-year period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>To identify all babies with no heart rate before age 10\u2005min we examined two groups:<\/jats:p>\n                  <jats:p>\u25b8\u2002All babies classified as live born who received cardiac massage at birth between January 2009 and December 2013.<\/jats:p>\n                  <jats:p>\u25b8\u2002All babies classified as stillborn between January 2009 and December 2013 where attempts were made at resuscitation beyond 10\u2005min.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>87 babies received cardiac massage. 81 babies were live born and 6 were classified as stillborn. Twenty-two babies had no heart rate before 10\u2005min of age. Eight babies survived to 2-year follow-up. 6\/11 term babies survived, 2\/4 babies born between 32 weeks and 37\u2005weeks survived, and no infants born less than 32\u2005weeks survived (n=7). Of the survivors, 5\/8 had a normal neurodevelopmental outcome at 2 years' age. One patient was lost to follow-up, while the other two patients had hemiplegia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our results add to the body of evidence suggesting that having no heart rate before 10\u2005min of age, in term babies, may not be an appropriate prompt to discontinue resuscitation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/archdischild-2016-311041","type":"journal-article","created":{"date-parts":[[2016,10,25]],"date-time":"2016-10-25T23:49:04Z","timestamp":1477439344000},"page":"F262-F265","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Outcome of babies with no detectable heart rate before 10\u2005minutes of age, and the effect of gestation"],"prefix":"10.1136","volume":"102","author":[{"given":"Thomas","family":"Sproat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Hearn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sundeep","family":"Harigopal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,10,25]]},"reference":[{"key":"2025090514433536000_102.3.F262.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.07.029"},{"key":"2025090514433536000_102.3.F262.2","doi-asserted-by":"publisher","DOI":"10.1136\/fn.78.2.F112"},{"key":"2025090514433536000_102.3.F262.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.10.877"},{"key":"2025090514433536000_102.3.F262.4","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306687"},{"key":"2025090514433536000_102.3.F262.5","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0934"},{"key":"2025090514433536000_102.3.F262.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2004.00314.x"},{"key":"2025090514433536000_102.3.F262.7","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2010.182725"},{"key":"2025090514433536000_102.3.F262.8","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-307825"},{"key":"2025090514433536000_102.3.F262.9","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.120634"},{"key":"2025090514433536000_102.3.F262.10","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306261"},{"key":"2025090514433536000_102.3.F262.11","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2015-308602"},{"key":"2025090514433536000_102.3.F262.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)80046-0"}],"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-2016-311041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T22:00:40Z","timestamp":1757109640000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/archdischild-2016-311041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10,25]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2017,4,19]]},"published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1136\/archdischild-2016-311041"],"URL":"https:\/\/doi.org\/10.1136\/archdischild-2016-311041","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"value":"1359-2998","type":"print"},{"value":"1468-2052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,10,25]]}}}