Resuscitation of the Newborn

Abstract

Neonatal deaths make a major contribution to the infant mortality rate. In a large number of cases this is due to failure in establishing respiration at birth. Certain conditions have been found to be associated with asphyxia of the newborn so regularly that one should anticipate trouble and be prepared for an emergency whenever they occur. These conditions are the following:

• (1) Obstetric factors:

  • (a) Prolapse of the cord or cord entanglements.

  • (b) Abnormal uterine contractions.

  • (c) Difficulty with the delivery of shoulders.

• (2) Maternal factors:

  • (a) Maternal age over 35 years.

  • (b) Grand multipara.

  • (c) Prolonged labour.

  • (d) Prolonged rupture of membranes.

  • (e) Maternal diseases, e.g. diabetes, toxaemia, etc.

• (3) Foetal factors:

  • (a) Meconium stained liquor.

  • (b) Tachycardia (more than 160/min) or bradycardia (less than 100/min).

• (4) Effects of drugs given to mother.