Position Effect on Cerebral Oxygenation in Neonates During Transition After Birth

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dc.authoridyangin ergon, ezgi/0000-0003-0836-7379
dc.contributor.authorErgon, Ezgi Yangin
dc.contributor.authorColak, Ruya
dc.contributor.authorTerek, Demet
dc.contributor.authorKoroglu, Ozge Altun
dc.contributor.authorCalkavur, Sebnem
dc.contributor.authorYalaz, Mehmet
dc.contributor.authorKultursay, Nilgun
dc.date.accessioned2024-08-31T07:47:11Z
dc.date.available2024-08-31T07:47:11Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractAim: According to delivery room guidelines, an optimal position is not specified for the stabilization of the baby. This study aimed to define the positions effects on postnatal adaptation parameters and cerebral oxygenation in non-resuscitated neonates. Materials and Methods: A total of 60 neonates delivered by cesarean section stabilized randomly in the supine, right-side, left-side, or prone positions were enrolled. Apgar scores, heart rates (HR), arterial oxygen saturations via pulse oximetry, and perfusion indexes (PI) at the 2 nd , 5 th and 10 th minutes were recorded. Cerebral regional oxygen saturation (SpO 2 ) of the patients was monitored by near-infrared spectroscopy. Results: In the prone position, the 1 st minute Apgar score was significantly lower than other groups, but no difference was observed at the 5 th minute Apgar scores (1 st min Apgarprone, p=0.05). Although there was no statistically significant difference, the prone position had the lowest HR at the 2 nd minute, while the supine posture had the greatest HR at the 5 th and 10 th minutes. While the groups' SpO 2 values were similar, the left-side group's perfusion rates increased at the 5 th and 10 th minute marks (5 th and 10 th min PIleft-side, p=0.67, p=0.21, respectively). Regional cerebral oxygen saturation (rScO 2 ) and cerebral fractional oxygen extraction did not differ significantly between groups at the 5 th and 10 th minute time intervals. Although right and left rScO 2 were found to be higher in the first 5 minutes in the prone position, this elevation did not lead to a statistically significant difference, and right and left rScO 2 values were found to be similar in all groups at the 10 th minute. Conclusion: Adaptation parameters were not affected by position, except for lower 1 st minute Apgar scores in the prone group and higher perfusion indices in the left lateral position. Cerebral perfusion was similar in all groups. The left-side position, which results in a higher PI, may be a good alternative. Studies with larger case series may provide further information.en_US
dc.description.sponsorshipFinancial Disclosure: The authors disclose that this research study was not funded by any specific grants from public, commercial, or not-for-profit sectors.en_US
dc.identifier.doi10.4274/jpr.galenos.2024.79735
dc.identifier.endpage87en_US
dc.identifier.issn2147-9445
dc.identifier.issue2en_US
dc.identifier.startpage80en_US
dc.identifier.urihttps://doi.org/10.4274/jpr.galenos.2024.79735
dc.identifier.urihttps://hdl.handle.net/11454/104321
dc.identifier.volume11en_US
dc.identifier.wosWOS:001271907000002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofJournal of Pediatric Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240831_Uen_US
dc.subjectApgaren_US
dc.subjectCerebral Oxygenationen_US
dc.subjectDelivery Roomen_US
dc.subjectNeonateen_US
dc.subjectPositionen_US
dc.titlePosition Effect on Cerebral Oxygenation in Neonates During Transition After Birthen_US
dc.typeArticleen_US

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