Birth

Routine Care

Provide Warmth
Clear Airway if Needed
Dry
Assess Color

Provide Warmth
Position, Clear Airway (as necessary)
Dry Stimulation, Reposition

(First 30 seconds after birth)

Term Gestation?
Amniotic Fluid Clear?
Breathing or Crying?
Good Muscle Tone?

Yes

No

Observational Care

Provide Positive Pressure

Give Supplementary Oxygen

Persistent Cyanotic

Pink

HR < 60

Effective Ventilation HR >100 and Pink

(Within 90 sec After Birth )

Provide Positive Pressure Ventilation
Administer Chest Compressions

Postresuscitation Care

Administer Epinephrine and/or Volume

HR > 60

HR < 60

Return

Return

(Within 60 seconds After Birth)

Evaluation Respirations,HR and Color

Apneic or HR <100

Breathing HR >100 and Pink

Breathing, HR >100 and Pink