Termgestation? Breathingorcrying? Goodtone? No Preventheatloss Ensureopenairway Stimulate HRbelow100? Gaspingorapnoea? Yes Positivepressureventilation SpO2 monitoring HRbelow100?

Yes Ensureopenairway Reduceleaks Considerincreasingpressure &oxygen HRbelow60? Yes Addchestcompressions

3compressionstoeachbreath

Yes Staywith mother

Routinecare: Preventheatloss Ongoingevaluation

No No Laboured breathing orpersistent cyanosis? Yes Ensureopenairway SpO2 monitoring ConsiderCPAP

No

Postresuscitation care

Targeted Targetedpre preductal ductal after birth SpO SpO22afterbirth 1 1min min 2 min 2min 3 3min min 4 4min min 5 5min min 10 10min min 60 6070% 70% 65 85% 6585% 70 7090% 90% 75 7590% 90% 80 8090% 90% 85 8590% 90%

100%oxygen Considerintubation orLMA HRbelow60? Yes Venousaccess,adrenaline Considervolumeexpansion

Adrenaline AdrenalineIV IV10 1030 30mcg/kg mcg/kg (0.1 0.3 mL/kg of 1:10,000 (0.10.3mL/kgof1:10,000 solution) solution)