Termgestation?

Breathingorcrying?
Goodtone?
No

Yes
Staywith
mother

Preventheatloss
Ensureopenairway
Stimulate
HRbelow100?
Gaspingorapnoea?

No
No

Yes
Positivepressureventilation
SpO2 monitoring
HRbelow100?

Routinecare:
Preventheatloss
Ongoingevaluation

Laboured breathing
orpersistent
cyanosis?
Yes

No

Ensureopenairway
SpO2 monitoring
ConsiderCPAP

Yes
Ensureopenairway
Reduceleaks
Considerincreasingpressure
&oxygen

Postresuscitation
care

HRbelow60?

Targetedpreductal
Targetedpreductal
SpO
afterbirth
SpO22afterbirth

Yes
Addchestcompressions
3compressionstoeachbreath

100%oxygen
Considerintubation orLMA

1min
1min
2min
2min
3min
3min
4min
4min
5min
5min
10min
10min

6070%
6070%
6585%
6585%
7090%
7090%
7590%
7590%
8090%
8090%
8590%
8590%

HRbelow60?
Yes
Venousaccess,adrenaline
Considervolumeexpansion

AdrenalineIV1030mcg/kg
AdrenalineIV1030mcg/kg
(0.10.3mL/kgof1:10,000
(0.10.3mL/kgof1:10,000
solution)
solution)