Neonatal Resuscitation

  • Janet M. Rennie
  1. I.
    Anticipating resuscitation. “ Time is of the utmost importance. Delay is damaging to the infant. Act promptly, accurately and gently” (Virginia Apgar). Some form of resuscitation is required in about 5–10% of all deliveries; about 2 per 1,000 require intubation. A person with sole responsibility for the baby and who is trained in the skills of basic resuscitation should be present at all deliveries, but an individual with advanced resuscitation skills should be present at the following types of deliveries (the list is not exhaustive). A person with more experience should be called if there has been prolonged fetal bradycardia, or the delivery is of a preterm baby of marginal viability.
    1. A.

      Preterm delivery

    2. B.

      Multiple deliveries

    3. C.

      Vaginal breech delivery

    4. D.

      Instrumental delivery

    5. E.

      Fetal compromise

  2. II.
    Normal postnatal transition. Most babies establish independent breathing and circulation quickly after birth, crying lustily and becoming pink within a few minutes. During...


Therapeutic Hypothermia Chest Compression Congenital Diaphragmatic Hernia Neonatal Resuscitation Choanal Atresia 
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Suggested Reading

  1. The American Academy of Pediatrics Neonatal Resuscitation Program
  2. Perlman JM, Wyllie J, Kattwinkel J, et al. Neonatal resuscitation: 2010 International Consensus on cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Circulation. 2010;122:S516–38.PubMedCrossRefGoogle Scholar
  3. Richmond S, Wyllie J. European Resuscitation Council guidelines for resuscitation 2010. Section 7, Resuscitation of babies at birth. Resuscitation. 2010;81:1389–99.PubMedCrossRefGoogle Scholar
  4. Richmond S, Wyllie J. Neonatal Life Support Guidelines 2010.
  5. The International Liaison Committee on Resuscitation. The International Liaison Committee on Resuscitation (ILCOR) consensus on science with treatment recommendations for pediatric and neonatal patients: neonatal resuscitation. Pediatrics. 2006;117:978–88.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Institute of Women’s HealthUniversity College London HospitalsLondonUK

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