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Approximate time

BIRTH
Term Gestation? Amniotic Fluid Clear? Breathing / Crying? Good Muscle Tone?
Routine Care: Provide warmth Clear Airway if needed Dry Assess Color

YES

NO 30 sec
Provide warmth Positive clear airway* (as necessary) Dry, stimulate, reposition

Evaluate: RESPIRATIONS HEART RATE COLOR

Breathing, HR >100bpm & Pink

Observational Care

BREATHING, HR >100bpm but CYANOTIC

PINK

APNEIC or HR <100bpm 30 sec

Give SUPPLEMENTAL OXYGEN


Persistent Cyanosis

Provide: POSITIVE PRESSURE VENTILATION


HR <60bmp HR >60bmp

Effective Ventilation, HR >100bpm, Pink

Postresuscitaion Care

30 sec

Provide: POSITIVE PRESSURE VENTILATION Administer: CHEST COMPRESSIONS


HR <60bmp

Administer: EPINEPHRINE and/or VOLUME

*Endotracheal intubation may considered at several steps

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