Oronasopharyngeal suction versus no suction in normal, term and vaginally born infants: A prospective randomised controlled trial
Corresponding Author
Sadettin GUNGOR
Department of Obstetrics and Gynecology, and
Correspondence: Dr Sadettin Gungor, GATA Kadin Hastaliklari ve Dogum Anabilim Dalı, 06018 Etlik/Ankara, Turkey. Email: [email protected]Search for more papers by this authorErtan TEKSOZ
Department of Anesthesiology and Reanimation, Gulhane Military Medical Academy and Medical School, Ankara, Turkey
Search for more papers by this authorErcan KURT
Department of Anesthesiology and Reanimation, Gulhane Military Medical Academy and Medical School, Ankara, Turkey
Search for more papers by this authorCorresponding Author
Sadettin GUNGOR
Department of Obstetrics and Gynecology, and
Correspondence: Dr Sadettin Gungor, GATA Kadin Hastaliklari ve Dogum Anabilim Dalı, 06018 Etlik/Ankara, Turkey. Email: [email protected]Search for more papers by this authorErtan TEKSOZ
Department of Anesthesiology and Reanimation, Gulhane Military Medical Academy and Medical School, Ankara, Turkey
Search for more papers by this authorErcan KURT
Department of Anesthesiology and Reanimation, Gulhane Military Medical Academy and Medical School, Ankara, Turkey
Search for more papers by this authorAbstract
This prospective randomised controlled trial aimed to compare the effects of oronasopharyngeal suction with those of no suction in normal, term and vaginally born infants and was performed at a Turkish tertiary hospital from June 2003 to January 2004. A total of 140 newborns were enrolled in the trial (n = 70 per group). The no suction group showed lower mean heart rates through the 3rd and 6th minutes and higher SaO2 values through the first 6 mins of life (P < 0.001). The maximum time to reach SaO2 of ≥ 92% (6 vs. 11 min) and ≥ 86% (5 vs. 8 min) were shorter in the no suction group (P < 0.001).
References
- 1 Cunningham FE, Gant NF, Leveno KJ, Gilstrap LC, Hauth JC, Wenstrom KD. Williams’ Obstetrics. In: The Newborn Infant, 21st edn. New York: McGraw-Hill, 2001; 385–402.
- 2 Ballard R. Resuscitation in the delivery room. In: R Ballard (ed). Avery's Diseases of the Newborn, 7th edn. Philadelphia: Saunders, 1998; 319–333.
- 3
McCartney P.
Bulb syringes in newborn care.
MCN Am J Maternal Child Nurs.
2000; 25: 217.
10.1097/00005721-200007000-00011 Google Scholar
- 4 Carrasco M, Martell M, Estol PC. Oronasopharyngeal suction at birth: Effects on arterial oxygen saturation. J Pediatr. 1997; 130: 832–834.
- 5 Corderro L, Hon E. Neonatal bradycardia following nasopharyngeal stimulation. J Pediatr. 1971; 78: 441–447.
- 6 Estol P, Piriz H, Basalo S, Simini F, Grela C. Oro-naso-pharyngeal suction at birth: Effects on respiratory adaptation of normal term vaginally born infants. J Perinat Med. 1992; 20: 297–305.
- 7 Waltman PA, Brewer JM, Rogers BP, May WL. Building evidence for practice: a pilot study of newborn bulb suctioning at birth. J Midwifery Womens Health 2004; 49: 32–38.
- 8 Reddy VK, Holzman IR, Wedgwood JF. Pulse oximetry saturations in the first 6 hours of life in normal term infants. Clin Pediatr (Phila) 1999; 38: 87–99.
- 9 Deckardt R, Schneider KTM, Graeff H. Monitoring arterial oxygen saturation in the neonate. J Perinat Med. 1987; 15: 357–360.
- 10 Dimich I, Singh PP, Adell A, Hendler M, Sonnenklar N, Jhaveri M. Evaluation of oxygen saturation monitoring by pulse oximetry in neonates in the delivery system. Can J Anaesth 1991; 38: 985–988.
- 11 Porter KB. Evaluation of arterial oxygen saturation of the newborn in the labor and delivery suite. J Perinatol. 1987; 7: 337–339.
- 12 House JT, Schultetus RR, Gravenstein N. Continuous neonatal evaluation in the delivery room by pulse oximetry. J Clin Monit. 1986; 3: 96–100.
- 13 Porter KB, Goldhamer R, Mankad A, Peevy K, Gaddy J, Spinnato JA. Evaluation of arterial oxygen saturation in pregnant patients and their newborns. Obstet-Gynecol. 1988; 71: 354–357.
- 14 Harris AP, Sendak MJ, Donham RT. Changes in arterial oxygen saturation immediately after birth in the human neonate. J Pediatr. 1986; 109: 117–119.
- 15 Toth B, Becker A, Seelbach-Göbel B. Oxygen saturation in healthy newborn infants immediately after birth measured by pulse oximetry. Arch Gynecol Obstet. 2002; 266: 105–107.
- 16
Sendak MJ,
Harris AP,
Rogers MC,
Donham RT.
Pulse oximetry in newborn infants in the delivery room.
Anestesiology[Suppl.]
1985; 63: 433.
10.1097/00000542-198509001-00433 Google Scholar
- 17 Fishma AP. Respiratory gases in the regulation of the pulmonary circulation. Physiol Rev. 1964; 41: 214–279.
- 18 Vain NE, Szyld EG, Prudent LM, Wiswell TE, Aguilar AM, Vivas NI. Oropharyngeal and nasopharyngeal suctioning of meconium-stained neonates before delivery of their shoulders: multicentre, randomised controlled trial. Lancet 2004; 14: 364 (9434): 597–602.
- 19 Barker PM, Olver RE. Invited Review: Clearance lung liquid during perinatal period. J Appl Hysiol. 2002; 93: 1542–1548.
- 20 Bland RD. Loss of liquid from the lung lumen in labor: more than a simple ‘squeeze’. Am J Physiol Lung Cell Mol Physiol. 2001; 280: 602–605.