Keywords
Newborn Premature
Argentina
How to Cite
Abstract
Introduction: moderate preterm (MP) and late preterm (LP) infants are more likely to require delivery room (DR) interventions compared to term infants. However, in Argentina, there is a lack of local data regarding resuscitation requirements in these populations, as no previous national studies have described their delivery room management.
Objectives: to describe the frequency and type of delivery room interventions in MP and LP infants, and to analyze the association between the level of intervention and neonatal clinical outcomes.
Methodology: aprospective multicenter cohort study was conducted across 42 maternity hospitals in Argentina from August 3, 2021, to November 27, 2022. MP (29 0/7–33 6/7 weeks) and LP (34 0/7–36 6/7 weeks) infants without major malformations were included. Newborns with major congenital malformations or a prenatal decision for limitation of life-sustaining care were excluded. Six delivery room intervention levels were classified. Maternal and perinatal factors, as well as clinical outcomes at discharge, were analyzed.
Results: a total of 1,747 infants were included: 690 MP and 1,057 LP infants. Overall, 72% of LP infants required no delivery room intervention, and only 0.09% received advanced resuscitation (AR). In contrast, 72% of MP infants received some form of intervention, and 2.17% required advanced resuscitation. Higher intervention intensity was significantly associated with lower gestational age, lower birth weight, incomplete prenatal care, and increased neonatal morbidity and mortality.
Conclusions: moderate preterm infants present a higher need for delivery room interventions. Advanced resuscitation procedures are associated with worse clinical outcomes.
References
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Copyright (c) 2026 Juan Pablo Berazategui, Carola Capelli, Romina Molina, Guadalupe Albornoz, Susana Gutiérrez, Gastón Pérez, Laura Konikoff, Carlos Maure, Karina Mohando, Cecilia Rabasa, Gonzalo Mariani, Adriana Castro, Jorge Zapata, Lucrecia Bossi, Paula Santos, Jesica Otaño, Ramón Larcade, Amorina Pardo, Lucila Scotto, Red colaborativa ReanimAR