Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Post-resuscitation complications in term neonates



It has been recommended that all newborn babies who have received substantial resuscitation be cared for in an environment where post-resuscitation care can be provided. To test this recommendation, we examined whether infants who received delivery room resuscitation and seemingly recovered by 5 min age are at increased risk of short-term morbidity.

Study design:

We undertook a retrospective analysis of the outcomes of babies who received delivery room resuscitation, and who had seemingly recovered by 5 min age, over a 1 year time period at a single academic institution. The 33 babies were compared with outcomes of 33 controls who received no resuscitation with normal 1 and 5 min Apgar scores. Complication rates and admissions to the neonatal intensive care unit (NICU) were compared between the two groups using the χ2 test.


Fifty-two percent of the study group and three percent of the control group were admitted to the NICU (P<0.01). Short-term complications were noted in 61% of the study group and three percent of the control group (P<0.01).


Increased short-term morbidity is demonstrated in neonates who receive delivery room resuscitation and are seemingly recovered at 5 min, when compared to a group of infants with normal Apgar scores at one and 5 min; and these infants should be cared for in an environment where ongoing evaluation can be provided.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Rent or buy this article

Get just this article for as long as you need it


Prices may be subject to local taxes which are calculated during checkout


  1. Kattwinkle J (ed). Textbook of Neonatal Resuscitation of the NRP, 5th edn 2006, p 1–18, 7–12.

  2. American Academy of Pediatrics American College of Obstetricians and Gynecologists, . In: Gilstrap LC, Oh W (eds). Guidelines for Perinatal Care 5th edn. American Academy of Pediatrics: Elk Grove Village, Illinois, 2002, p 195.

  3. Nelson KB, Ellenberg JH . Neonatal signs as predictors of cerebral palsy. Pediatrics 1979; 64: 225–232.

    CAS  PubMed  Google Scholar 

  4. Moster D, Lie RT, Irgens LM, Bjerkedal T, Markestad T . The association of Apgar score with subsequent death and cerebral palsy: a population-based study in term infants. J Pediatr 2001; 138: 798–803.

    Article  CAS  Google Scholar 

  5. Boehm FH, Fields LM, Entam SS, Vaughn WK . Correlation of the one-minute Apgar score and umbilical cord and acid-base status. South Med J 1986; 79: 429–431.

    Article  CAS  Google Scholar 

Download references


We thank Ada Edwards, NNP, for her extensive help in data retrieval for this project.

Author information

Authors and Affiliations


Corresponding author

Correspondence to J Werthammer.

Additional information

Previous presentation: This study was presented in part at Pediatric Academic Societies, Annual Meeting, 5/5/2003, Seattle, Washington.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Frazier, M., Werthammer, J. Post-resuscitation complications in term neonates. J Perinatol 27, 82–84 (2007).

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI:


  • post-resuscitation care
  • apgar score
  • neonate
  • morbidity

This article is cited by


Quick links