Newborn Resuscitation

Assess

• Is the baby crying or breathing?
• Is the baby moving?

Breathing Present - Moving or crying

• Vigorous Newborn

Dry (especially the head)

Keep warm (skin to skin with mother)

Clear airway only if needed (see airway)

Assess HR, Breathing, colour

APGAR at 1 and 5 minute

Not breathing - not moving or crying
• Non-Vigorous Newborn
Clear airway only if needed (see airway)
Stimulate by drying (then maintain warmth)
Place head and neck into a neutral position

Assess at 30 seconds

• Is the baby breathing?
• Is the HR >100min?

HR >100 and breathing adequately

If centrally cyanotic after 7 to 10 minutes post birth
- Commence O2 at 2 L/min via nasal cannula until pink

HR < 100 and/or inadequate breathing
IPPV in room air at 40 to 60 min until HR >100 and breathing adequately
Re-assess after 30 seconds IPPV
Place head and neck into a neutral position

Assess at 60 seconds

• Evaluate HR and respiration


HR 60 to 100 and/or inadequate breathing			HR <60 and/or inadequate breathing
Continue IPPV at 40 to 60 min until HR > 100 and breathing adequately. Add supplemental high concentration oxygen			Continue IPPV at 40 to 60 min until HR > 100 and breathing adequately. Add supplemental high concentration oxygen
Continue to re-assess after 30 seconds IPPV			Commence chest compressions at 3:1
			Continue to re-assess after 30 seconds IPPV

Assess at 90 seconds

• Evaluate HR and respiration

HR >100 and breathing adequately

Manage as per HR >100 and breathing adequately as above

HR <60
• Manage as Newborn advanced resuscitation • Continue to reassess at 30 second intervals