Neonatal Resuscitation
Publication Date: November 16, 2023
Last Updated: January 19, 2024
Top 10 Take-Home Messages for Neonatal Resuscitation
- For term and late preterm newborn infants ≥34 weeks’ gestation who do not require resuscita-tion, delayed cord clamping (≥30 seconds) can be beneficial compared with early cord clamping (<30 seconds).
- For term and late preterm newborn infants ≥34 weeks’ gestation who do not require resuscitation, intact cord milking is not known to be beneficial com-pared with delayed cord clamping (≥30 seconds).
- For nonvigorous term and late preterm newborn infants (35–42 weeks’ gestation), intact cord milking may be reasonable compared with early cord clamp-ing (<30 seconds).
- For preterm newborn infants <34 weeks’ gesta-tion who do not require resuscitation, delaying cord clamping (≥30 seconds) can be beneficial com-pared with early cord clamping (<30 seconds).
- For preterm newborn infants between 28 and 34 weeks’ gestation who do not require resuscitation and in whom delayed cord clamping cannot be per-formed, intact cord milking may be reasonable.
- For preterm newborn infants <28 weeks’ gesta-tion, intact cord milking is not recommended.
- Effective positive-pressure ventilation is the priority in newborn infants who need support after birth.
- Using a T-piece resuscitator to deliver positive-pressure ventilation is preferred to the use of a self-inflating bag.
- Because both T-piece resuscitators and flow-inflating bags require a compressed gas source to function, a self-inflating bag should be available as a backup in the event of compressed gas failure when using either of these devices.
- Use of a supraglottic airway may be considered as the primary interface to administer positive- pressure ventilation instead of a face mask for new-born infants delivered at ≥34 0/7 weeks’ gestation.
Term/Late Preterm Newborn Umbilical Cord Management
For term and late preterm newborn infants ≥34 weeks’ gestation who do not require resuscitation, delayed cord clamping (DCC) (≥30 seconds) can be beneficial when compared to early cord clamping (<30 seconds). (IIa, B-R)
573
Overview
Title
Neonatal Resuscitation
Authoring Organizations
American Academy of Pediatrics
American Heart Association
To continue viewing this pocket guide, please purchase it.
My Library
added to your library.
Grading Table
Feedback