Special Issue "Neonatal Heart Rate at Birth"

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Neonatology".

Deadline for manuscript submissions: 31 January 2024 | Viewed by 755

Special Issue Editors

Materials and Engineering Research Institute, Hallam University, Sheffield, UK
Interests: equipment design; process and training to achieve motherside neonatal resuscitation with an intact cord
Special Issues, Collections and Topics in MDPI journals
Neonatal Intensive Care Unit, Università degli Studi di Firenze, 50121 Firenze, Italy
Interests: neonatal transition; neonatal resuscitation; neonatal jaundice; phototherapy for neonatal hyperbilirubinemia; near-infrared spectroscopy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Heart rate is the main determinant of a neonate immediately after birth. ILKCOR recommends this is determined initially by auscultation. The auscultation is performed by one individual, requires the mental calculation of the rate, is undocumented in real-time, and is not available for review or audit.

In this Special Issue, we aim to review new technological approaches which provide more accurate measurement and present the evidence for any other method. With the change in practice towards resuscitation with an intact cord, the normal range of heart rate immediately after birth needs to be reviewed and the thresholds for intervention reconsidered.

There have been a number of modifications of technology (oximetry, ECG and Doppler) that provide easier and more accurate heart rate measurements immediately after birth. The advantages and disadvantages of these approaches need review and the evidence they provide to see if there is any need for a change in what is considered the physiological norm.

We welcome papers featuring reviews of the methods for determining the heart rate in the first few minutes after birth, descriptions of any new equipment available, and evidence for the superiority of any new method, especially if feasible for use in Cesarean births and during resuscitation with an intact cord.

Dr. David Hutchon
Dr. Simone Pratesi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.


  • heart rate at birth
  • normal range
  • resuscitation
  • cesarean section

Published Papers (1 paper)

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10 pages, 257 KiB  
Significance of Neonatal Heart Rate in the Delivery Room—A Review
Children 2023, 10(9), 1551; https://doi.org/10.3390/children10091551 - 14 Sep 2023
Viewed by 620
Background: Heart rate (HR) is considered the main vital sign in newborns during perinatal transition, with a threshold of 100 beats per minute (bpm), below which, intervention is recommended. However, recent changes in delivery room management, including delayed cord clamping, are likely to [...] Read more.
Background: Heart rate (HR) is considered the main vital sign in newborns during perinatal transition, with a threshold of 100 beats per minute (bpm), below which, intervention is recommended. However, recent changes in delivery room management, including delayed cord clamping, are likely to have influenced normal HR transition. Objective: To summarize the updated knowledge about the factors, including measurement methods, that influence HR in newborn infants immediately after birth. Additionally, this paper provides an overview of delivery room HR as a prognostic indicator in different subgroups of newborns. Methods: We searched PubMed, EMBASE, and Google Scholar with the terms infant, heart rate, delivery room, resuscitation, pulse oximetry, and electrocardiogram. Results: Seven studies that described HR values in newborn infants immediately after birth were included. Pulse oximetry-derived HR percentiles after immediate cord clamping may not be applicable to the current practice of delayed cord clamping and the increasing use of delivery room electrocardiograms. Mask ventilation may adversely affect HR, particularly in premature and non-asphyxiated infants. Prolonged bradycardia is a negative prognostic factor, especially if combined with hypoxemia in infants <32 weeks of gestation. Conclusions: HR assessment in the delivery room remains important. However, the cardiopulmonary transition is affected by delayed cord clamping, gestational age, and underlying conditions. Full article
(This article belongs to the Special Issue Neonatal Heart Rate at Birth)
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