Newborn receiving positive pressure ventilation. Instead of referring to<unk> ", current recommendations hold to look for more specific signs and symptoms, assess them, and take the appropriate steps to remedy the situation through the implementation of intrauterine resuscitation. Traditionally the diagnosis of<unk> " led the obstetrician to recommend rapid delivery by instrumental delivery or by caesarean section if vaginal delivery is not advised. An algorithm is used to treat/resuscitate babies in need of respiratory support post-birth. The algorithm steps include: clearing the airways and warming, stimulating, and drying the baby, positive-pressure ventilation (PPV), supplementary oxygen, intubation, chest compressions, and pharmacological therapy. The order of these interventions is set, and each step is done for 30 seconds with heart rate monitoring and assessment of chest movement prior to escalating to the next step in the algorithm.
Fetal distress
Fetal movement
Fetal-maternal haemorrhage
Persistent fetal circulation
Cephalopelvic disproportion
Prolonged labor
Breech birth
Shoulder dystocia