Outcomes and Variables
Resuscitation of newborns with PPV captured on video were included in
the analysis. We used a previously published analytical framework of
quality-of-care indicators where resuscitation procedures are scored
according to guidelines. 18 33 The clinical appearance
of the newborn was logged as no respiration=0, gasping=1 or breathing=2.
The clinical actions performed by the HW were registered in a thematic
template, including a description of performance on heat loss
prevention, positioning of the newborn’s head, clearing the airway via
suction, stimulation, bag and mask ventilation, heart rate assessment
and oxygen management. Each intervention was assessed at three levels:
properly performed procedures, inadequate performed procedures (delayed
intervention or inadequate technique for a given procedure), and
procedures omitted or performed but not indicated according to NR
guidelines. 18 33