
Contents
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Overview Overview
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Practical aspects Practical aspects
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Temperature control Temperature control
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Initial assessment at delivery Initial assessment at delivery
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Further reading Further reading
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Airway, breathing, and circulation (ABC) Airway, breathing, and circulation (ABC)
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Airway Airway
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Breathing Breathing
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Circulation Circulation
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Drugs Drugs
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Drugs used in neonatal resuscitation Drugs used in neonatal resuscitation
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Recent advances Recent advances
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Delayed cord clamping Delayed cord clamping
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Infants with meconium-stained liquor Infants with meconium-stained liquor
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Preterm infants Preterm infants
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Use of air vs. oxygen in resuscitation Use of air vs. oxygen in resuscitation
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Confirmation of tracheal tube placement Confirmation of tracheal tube placement
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Therapeutic hypothermia Therapeutic hypothermia
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Communication with parents Communication with parents
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Resuscitation decisions Resuscitation decisions
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Stopping resuscitation Stopping resuscitation
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Further reading Further reading
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Cite
Extract
Overview
Most babies establish normal respiration and circulation without help after delivery. However, all babies should be assessed at delivery. Newborn infants who are born at term, have clear liquor, and are breathing and crying with good tone will only require drying and keeping warm. Less than 1% of babies need resuscitation. Anticipation of problems before delivery is the key to success.
It is prudent, where possible, to call for specialist skilled personnel to attend deliveries where need for additional support may be anticipated. These situations include:
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All trained personnel attending a delivery have a responsibility for initiating resuscitation at birth and should possess the appropriate knowledge and skills to approach the management of the newborn infant during the first 10–20min in a competent manner. The environment should be warm, draught free, and well lit, with a flat surface available for resuscitation. Equipment should be checked on a daily basis and before each delivery.
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