TY - JOUR AU - Trevisanuto, Daniele AU - Gizzi, Camilla AU - Gagliardi, Luigi AU - Ghirardello, Stefano AU - Di, Fabio Sandra AU - Beke, Artúr AU - Buonocore, Giuseppe AU - Charitou, Antonia AU - Cucerea, Manuela AU - Degtyareva, Marina V. AU - Filipovic-Grcic, Boris AU - Jekova, Nelly Georgieva AU - Koc, Esin AU - Saldanha, Joana AU - Luna, Manuel Sanchez AU - Stoniene, Dalia AU - Varendi, Heili AU - Vertecchi, Giulia AU - Mosca, Fabio AU - Moretti, Corrado TI - Neonatal Resuscitation Practices in Europe: A Survey of the Union of European Neonatal and Perinatal Societies JF - NEONATOLOGY: FETAL AND NEONATAL RESEARCH J2 - NEONATOLOGY VL - 119 PY - 2022 IS - 2 SP - 184 EP - 192 PG - 9 SN - 1661-7800 DO - 10.1159/000520617 UR - https://m2.mtmt.hu/api/publication/32709971 ID - 32709971 AB - Background: We aimed to evaluate the policies and practices about neonatal resuscitation in a large sample of European hospitals. Methods: This was a cross-sectional electronic survey. A 91-item questionnaire focusing on the current delivery room practices in neonatal resuscitation domains was individually sent to the directors of 730 European neonatal facilities or (in 5 countries) made available as a Web-based link. A comparison was made between hospitals with <= 2,000 and those with >2,000 births/year and between hospitals in 5 European areas (Eastern Europe, Italy, Mediterranean countries, Turkey, and Western Europe). Results: The response rate was 57% and included participants from 33 European countries. In 2018, approximately 1.27 million births occurred at the participating hospitals, with a median of 1,900 births/center (interquartile range: 1,400-3,000). Routine antenatal counseling (p < 0.05), the presence of a resuscitation team at all deliveries (p < 0.01), umbilical cord management (p < 0.01), practices for thermal management (p < 0.05), and heart rate monitoring (p < 0.01) were significantly different between hospitals with <= 2,000 births/year and those with >2,000 births/year. Ethical and educational aspects were similar between hospitals with low and high birth volumes. Significant variance in practice, ethical decision-making, and training programs were found between hospitals in 5 different European areas. Conclusions: Several recommendations about available equipment and clinical practices recommended by the international guidelines are already implemented by centers in Europe, but a large variance still persists. Clinicians and stakeholders should consider this information when allocating resources and planning European perinatal programs. LA - English DB - MTMT ER -