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Original Article

Neonatal Resuscitation Practices in Turkey: A Survey of the Turkish Neonatal Society and the Union of European Neonatal and Perinatal Societies

Emel Okulu 1 , Esin Koç 2 , Ömer Erdeve 1 , Arzu Akdağ 3 , Selma Aktaş 4 , Özge Aydemir 5 , Canan Aygün 6 , Bilge Tanyeri Bayraktar 7 , Burcu Cebeci 8 , Hasan Tolga Çelik 9 , Kıymet Çelik 10 , Defne Engür 11 , Sabahattin Ertuğrul 12 , Nurdan Dinlen Fettah 13 , Nazlı Dilay Gültekin 14 , Zatigül Şafak Taviloğlu Güçyetmez 15 , Pelin Gülen 16 , İbrahim Murat Hirfanoğlu 17 , Zeynep İnce 18 , Şebnem Kader 19 , Dilek Kahvecioğlu 20 , Mehmet Kenan Kanburoğlu 21 , Belma Saygılı Karagöl 22 , İlknur Kılıç 23 , Özge Altun Koroğlu 24 , Nuriye Aslı Melekoğlu 25 , Fatma Narter 26 , Özgür Olukman 27 , Hakan Ongun 28 , Fahri Ovalı 29 , Esra Arun Özer 30 , Elif Özyazıcı Özkan 31 , Dilek Yavuzcan Öztürk 32 , Ebru Özüdoğru 33 , Dilek Sarıcı 34 , Mehmet Satar 35 , Şahin Takçı 36 , Sema Tanrıverdi 30 , Erdal Taşkın 37 , Cüneyt Tayman 38 , Kadir Şerafettin Tekgündüz 39 , Gaffari Tunç 40 , Münevver Kaynak Türkmen 41 , Funda Tüzün 42 , Sinan Uslu 43 , Sezin Ünal 44 , Zeynep Alp Ünkar 45 , Akan Yaman 46 , Beril Yaşa 47 , Şükran Yıldırım 48 , Aslan Yılmaz 49 , Fatma Hilal Yılmaz 50 , Ebru Yücesoy 51
1.

Division of Neonatology, Department of Pediatrics, Ankara University, Faculty of Medicine, Ankara, Turkey

2.

Division of Neonatology, Department of Pediatrics, Gazi University, Faculty of Medicine, Ankara, Turkey

3.

Department of Neonatology, University of Health Sciences, Yüksek İhtisas Training and Research Hospital, Bursa, Turkey

4.

Department of Neonatology, Acıbadem Mehmet Ali Aydınlar University, Maslak Hospital, İstanbul, Turkey

5.

Zekai Tahir Burak Women’s Health Education and Research Hospital, Neonatology Clinic, Ankara, Turkey

6.

Division of Neonatology, Department of Pediatrics, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey

7.

Division of Neonatology, Department of Pediatrics, Bezmialem Vakif University Faculty of Medicine, Denizli, Turkey

8.

Department of Neonatology, Haseki Teaching and Training Hospital, İstanbul, Turkey

9.

Division of Neonatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey

10.

Department of Neonatology, Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey

11.

Department of Neonatology, University of Health Sciences, Tepecik Training and Research Hospital, İzmir Turkey

12.

Division of Neonatology, Department of Pediatrics, Dicle University Faculty of Medicine, Diyarbakır, Turkey

13.

Department of Neonatology, University of Health Sciences, Dr Sami Ulus Maternity and Children Training and Research Hospital, Ankara, Turkey

14.

Neonatal Intensive Care Unit, Van Regional Training and Research Hospital, Van, Turkey

15.

Division of Neonatology, Department of Pediatrics, Marmara University Faculty of Medicine, Pendik Training and Research Hospital, İstanbul, Turkey

16.

Neonatal Intensive Care Unit, Forum Yaşam Hospital, Mersin, Turkey

17.

Division of Neonatology, Department of Pediatrics, Gazi University Faculty of Medicine, Ankara, Turkey

18.

Division of Neonatology, Department of Pediatrics, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey

19.

Division of Neonatology, Department of Pediatrics, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey

20.

Department of Neonatology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkey

21.

Division of Neonatology, Department of Pediatrics, Recep Tayyip Erdogan University School of Medicine, Rize State Hospital, Rize, Turkey

22.

Division of Neonatology, Department of Pediatrics, University of Health Sciences, Gülhane Faculty of Medicine, Ankara, Turkey

23.

Department of Neonatology, Ataşehir Florence Nightingale Hospital, İstanbul, Turkey

24.

Division of Neonatology, Department of Pediatrics, Ege University Faculty of Medicine, İzmir, Turkey

25.

Department of Neonatology, Malatya Training and Research Hospital, Malatya, Turkey

26.

Department of Neonatology, University of Health Sciences, Kartal Dr Lütfi Kirdar Education and Research Hospital, İstanbul, Turkey

27.

İzmir Dr. Behçet Uz Pediatrics and Pediatric Surgery Education and Research Hospital, Department of Pediatrics, Neonatology Clinic, İzmir, Turkey

28.

Division of Neonatology, Department of Pediatrics, Akdeniz University Faculty of Medicine, Antalya, Turkey

29.

Division of Neonatology, Department of Pediatrics, Medeniyet University Faculty of Medicine, İstanbul, Turkey

30.

Division of Neonatology, Department of Pediatrics, Celal Bayar University Faculty of Medicine, Manisa, Turkey

31.

Department of Neonatology, Antalya Training and Research Hospital, Antalya, Turkey

32.

Department of Neonatology, Esenler Maternity and Children Hospital, İstanbul, Turkey

33.

Division of Neonatology, Department of Pediatrics, Erciyes University Faculty of Medicine, Kayseri, Turkey

34.

Department of Neonatology, Keçioren Training and Research Hospital, Ankara, Turkey

35.

Department of Neonatology, Çukurova University Faculty of Medicine, Adana, Turkey

36.

Division of Neonatology, Department of Pediatrics, Gaziosmanpaşa University Faculty of Medicine, Tokat, Turkey

37.

Division of Neonatology, Department of Pediatrics, Fırat University Faculty of Medicine, Elazığ, Turkey

38.

Division of Neonatology, Department of Pediatrics, University of Health Sciences, Ankara Bilkent City Hospital, Ankara, Turkey

39.

Division of Neonatology, Department of Pediatrics, Atatürk University Faculty of Medicine, Erzurum, Turkey

40.

Division of Neonatology, Department of Pediatrics, Cumhuriyet University Faculty of Medicine, Sivas, Turkey

41.

Division of Neonatology, Department of Pediatrics, Adnan Menderes University Faculty of Medicine, Aydın, Turkey

42.

Division of Neonatology, Department of Pediatrics, Dokuz Eylül University Faculty of Medicine, İzmir, Turkey

43.

Department of Neonatology, University of Health Sciences, Şişli Etfal Hamidiye Training and Research Hospital, İstanbul, Turkey

44.

Department of Neonatology, University of Health Sciences, Etlik Zübeyde Hanım Women’s Health Teaching and Research Hospital, Ankara, Turkey

45.

Department of Neonatology, Beykoz State Hospital, İstanbul, Turkey

46.

Neonatal Intensive Care Unit, Özel Güngören Hospital, İstanbul, Turkey

47.

Department of Neonatology, University of Health Sciences, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, Turkey

48.

Department of Neonatology, Okmeydanı Training and Research Hospital, İstanbul, Turkey

49.

Department of Neonatology, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey

50.

Division of Neonatology, Department of Pediatrics, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey

51.

Neonatal Intensive Care Unit, Şanlıurfa Traning and Research Hospital, Şanlıurfa, Turkey

Turk Arch Pediatr 2023; 58: 289-297
DOI: 10.5152/TurkArchPediatr.2023.22281
Keywords : Delivery room, neonatal resuscitation, survey, Turkey
Read: 1115 Downloads: 484 Published: 03 May 2023
Volume 58, Issue 3, May 2023
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Objective: Optimal care in the delivery room is important to decrease neonatal morbidity and mortality. We aimed to evaluate neonatal resuscitation practices in Turkish centers.

Materials and Methods: A cross-sectional survey consisted of a 91-item questionnaire focused on delivery room practices in neonatal resuscitation and was sent to 50 Turkish centers. Hospitals with <2500 and those with ≥2500 births/year were compared.

Results: In 2018, approximately 240 000 births occurred at participating hospitals with a median of 2630 births/year. Participating hospitals were able to provide nasal continuous-positiveairway-pressure/high-flow nasal cannula, mechanical ventilation, high-frequency oscillatory ventilation, inhaled nitric oxide, and therapeutic hypothermia similarly. Antenatal counseling was routinely performed on parents at 56% of all centers. A resuscitation team was present at 72% of deliveries. Umbilical cord management for both term and preterm infants was similar between centers. The rate of delayed cord clamping was approximately 60% in term and late preterm infants. Thermal management for preterm infants (<32 weeks) was similar. Hospitals had appropriate equipment with similar rates of interventions and management, except conti nuous-positive-airway-pressure and positive-end-expiratory-pressure levels (cmH2O) used in preterm infants (P = .021, and P = .032). Ethical and educational aspects were also similar.

Conclusions: This survey provided information on neonatal resuscitation practices in a sample of hospitals from all regions of Turkey and allowed us to see weaknesses in some fields. Although adherence to the guidelines was high among centers, further implementations are required in the areas of antenatal counseling, cord management, and circulation assessment in the delivery room.

Cite this article as: Okulu E, Koç E, Erdeve Ö, et al. Neonatal resuscitation practices in Turkey: A survey of the Turkish neonatal society and the union of European neonatal and perinatal societies. Turk Arch Pediatr. 2023;58(3):289-297.

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