Question

What are the steps and protocols for neonatal resuscitation? What are the indicators for using adrenaline? Which method is considered better?

Answer

The steps for neonatal resuscitation include several key phases:

  1. Initial Resuscitation: Complete the following steps within 15-20 seconds after birth:
  • Warming: Place the newborn immediately on a preheated radiant warmer.
  • Reducing Heat Loss: Use warm, dry towels to wipe the head and entire body.
  • Body Positioning: Elevate the shoulders by 2 to 3 millimeters to slightly extend the neck.
  • Cleaning Airways: Immediately suction mucus from the mouth, throat, and nasal passages, not exceeding 10 seconds. If amniotic fluid is contaminated with fetal meconium, clean the mouth and nose thoroughly before delivery. Before the first breath, wash the airway’s inner tube of meconium under a laryngoscope if the shoulder has been removed. Indicators for using adrenaline typically occur when a newborn exhibits severe asphyxia, and