Approximate

time
BIRTH

Routine Care:
Term Gestation?
A Amniotic Fluid Clear?
YES Provide warmth
Clear Airway if needed
Breathing / Crying? Dry
Good Muscle Tone? Assess Color

NO

30 sec Provide warmth

Positive clear airway*
(as necessary)
Dry, stimulate, reposition

Breathing,
Evaluate: HR >100bpm
& Pink
RESPIRATIONS Observational Care
HEART RATE
COLOR

BREATHING, HR >100bpm PINK

but CYANOTIC

APNEIC or Give
HR <100bpm SUPPLEMENTAL
OXYGEN
30 sec
Persistent
Cyanosis
Effective Ventilation,

B Provide:
POSITIVE PRESSURE VENTILATION
HR >100bpm, Pink Postresuscitaion
Care

HR <60bmp HR >60bmp

Provide:
C POSITIVE PRESSURE VENTILATION
30 sec Administer:
CHEST COMPRESSIONS

HR <60bmp

Administer:
D EPINEPHRINE and/or VOLUME

*Endotracheal intubation may considered at

several steps