Am J Perinatol 2022; 39(11): 1248-1253
DOI: 10.1055/s-0040-1722602
Original Article

Attitudes of Argentinean Neonatologists toward Resuscitation of Infants with Trisomies 21, 18, and 13: A Multicenter Survey

1   Department of Bioethics, Hospital Universitario Austral, Universidad Austral, Buenos Aires, Argentina
,
Adolfo Etchegaray
2   Division of Fetal Medicine, Hospital Universitario Austral, Buenos Aires, Argentina
,
Sofía Juárez Peñalva
2   Division of Fetal Medicine, Hospital Universitario Austral, Buenos Aires, Argentina
3   Division of Genetics, Hospital Universitario Austral, Universidad Austral, Buenos Aires, Argentina
,
Marcelo J. Villar
4   Institute of Translational Research, Facultad de Ciencias Biomédicas, Universidad Austral, Buenos Aires, Argentina
,
Gabriel Musante
5   Division of Neonatology, Hospital Universitario Austral, Universidad Austral, Buenos Aires, Argentina
› Author Affiliations
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Abstract

Objective This study was aimed to explore the attitude of Argentinean neonatologists in the delivery room on resuscitating infants with trisomies.

Study Design An anonymous questionnaire was completed by neonatologists staffing level-III neonatal intensive care units (NICUs) on resuscitation of children with trisomies 21, 18, and 13. Potential sociocultural factors influencing the decision to resuscitate were included.

Results Overall, 314 neonatologists in 34 units in the Buenos Aires region participated (response rate of 54%). The position of neonatologists regarding the resuscitation in the delivery room was that 98% would resuscitate newborns with trisomy 21, and 47% with trisomy 18 or trisomy 13. Resuscitation of newborns with trisomy 18 or trisomy 13 by neonatologists was significantly associated with working in the public sector, religious beliefs, and legal framework.

Conclusion With improvement in the management and treatment of infants with trisomies 18 and 13, Argentinean neonatologists showed a favorable attitude toward resuscitating them in the delivery room.

Key Points

  • We explored the attitudes of Argentinean neonatologists on resuscitation of children with trisomies.

  • Half of neonatologists would resuscitate newborns with trisomies18 and 13.

  • These results suggest an ongoing paradigm shift of the most severe trisomies.



Publication History

Received: 12 November 2020

Accepted: 04 December 2020

Article published online:
17 January 2021

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