Your team attends an emergency cesarean delivery of a term baby because of chorioamnionitis, meconium-stained amniotic fluid, and fetal heart rate decelerations. at delivery, the newborn is term as expected, with very poor tone and he is not breathing (apneic). you quickly perform initial steps, but the newborn is still not breathing. what is the most appropriate next step of resuscitation?

If the baby is not breathing, take further action

It is an action to put some air into the baby's lungs with positive pressure so that the baby can breathe. This action is done by placing a lid with a size that fits on the baby's face to cover the baby's chin, mouth, and nose.

Keep the baby's head position and squeeze the bag in the lid, so that air enters the baby's lungs causing the baby's chest to rise slightly. If the baby's chest rises after doing 2-3 ventilation times, it means that ventilation pressure may be enough given to the baby. Continue ventilation 40 times per minute until the baby cries or breathes.

However, if the baby's chest does not rise, there may be problems, such as the baby's airways clogged, improper lid insertion, insufficient pressure, incorrect position of the baby, and others.

This is done to temporarily increase circulation and oxygen delivery to important organs of the baby. Chest pressure or cardiac massage is accompanied by ventilation, to ensure that the circulation of blood circulating in the baby's body gets enough oxygen.

After pressing the chest for 30-45 seconds, the baby's heart rate is assessed. If the baby's heartbeat is less than 60 times per minute chest compressions should be continued (after epinephrine injections).

The administration of these drugs is done during resuscitation when ventilation and chest compressions do not work for more than 45 seconds to 1 minute, the baby's heart rate remains less than 60 times per minute and there is no improvement.

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Baby resuscitation

initial step

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Class: High School

Subject: Health

Keywords: ventilate, resuscitation, baby

the more fit you are, the faster the recovery. your heart rate drops most sharply in the first minute after you stop exercising; it should then fall about 20 beats a minute—a drop of less than 12 beats a minute is considered abnormal. this “recovery heart rate” is measured as part of an exercise stress test.