Original Investigation

Clinical and Nonclinical Factors and Advanced Neonatal Resuscitation Interventions

JAMA Network Open 10.1001/jamanetworkopen.2026.9923

April 30, 2026 at 11:00 AM EDT

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For late preterm and term newborns, are nonclinical factors—maternal socioeconomic status (SES), remoteness of residence, and birth-site level of service—associated with odds of advanced neonatal resuscitation interventions (ANRIs)?In this cross-sectional study of nearly 1 million births, maternal SES and maternal residence remoteness were not associated with higher odds of receiving ANRI. Birth sites with lower levels of service were associated with higher odds of chest compressions.The findings of this study highlight a need to improve neonatal resuscitation in settings with lower levels of service.

Corresponding Author: Brenda Hiu Yan Law, MD, MSc, Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, 10240 Kingsway Ave NW, Edmonton, Alberta T5H 3V9, Canada (blaw2@ualberta.ca).

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