Consider inspection and suction before Each breath 2-3 inflation breaths. seconds duration at 30 cm H²0 for If breathing: a term baby. Reassess heart rate and monitor baby. Get help from a If heart rate is second person: satisfactory or increasing: to support the airway in a continue ventilation double jaw breaths at about thrust, 30/min until baby is breathing or establish adequately. airway using an LMA (laryngeal If the chest is still not moving: mask airway) Chest The airway is the compression problem. Compression: If the heart rate is ventilation ratio increasing: of 3.1 Stop compressions Continue ventilation breaths at about 30/min until baby is breathing adequately Figure 4Newborn Life Support Resuscitation guidelines 2010 Also: Reassure parents and keep them informed of action. If possible double clamp the cord to enable blood gases to be taken (within 30 minutes). Midwife will maintain appropriate documentation. Midwife to contact neonatal unit to arrange transfer. Ensure extra midwifery staff is available to offer support, arrange equipment for transfer. Baby will require identification bands prior to transfer. Ref: Resuscitation Council (UK)
Each breath 2-3 seconds duration at 30 cm H²0 for a term baby. Get help from a second person: to support the airway in a double jaw thrust, or establish airway using an LMA (laryngeal mask airway) Chest compression Compression: ventilation ratio of 3.1 Consider inspection and suction before inflation breaths. If breathing: Reassess heart rate and monitor baby. If heart rate is satisfactory or increasing: continue ventilation breaths at about 30/min until baby is breathing adequately. If the chest is still not moving: The airway is the problem. If the heart rate is increasing: Stop compressions Continue ventilation breaths at about 30/min until baby is breathing adequately Figure 4Newborn Life Support Resuscitation guidelines 2010 Also: Reassure parents and keep them informed of action. If possible double clamp the cord to enable blood gases to be taken (within 30 minutes). Midwife will maintain appropriate documentation. Midwife to contact neonatal unit to arrange transfer. Ensure extra midwifery staff is available to offer support, arrange equipment for transfer. Baby will require identification bands prior to transfer. Ref: Resuscitation Council (UK)