Managing Complications in Pregnancy and Childbirth: - IAWG

IMMEDIATE NEWBORN CONDITIONS OR S-141PROBLEMSPROBLEMS• The newborn has serious conditions or problems:- not breathing or is gasping;- breathing with difficulty (less than 30 or more than 60 breathsper minute, indrawing of the chest or grunting);- cyanosis (blueness);- preterm or very low birth weight (less than 32 weeks gestationor less than 1 500 g);- lethargy;- hypothermia;- convulsions.• The newborn has other conditions or problems that requireattention in the delivery room:- low birth weight (1 500–2 500 g);- possible bacterial infection in an apparently normal newbornwhose mother had prelabour or prolonged rupture ofmembranes;- possible congenital syphilis in newborn whose mother has apositive serologic test for syphilis or is symptomatic.IMMEDIATE MANAGEMENTThree situations require immediate management: no breathing (orgasping, below), cyanosis (blueness) or breathing with difficulty (pageS-146).NO BREATHING OR GASPINGGENERAL MANAGEMENT• Dry the baby, remove the wet cloth and wrap the baby in a dry,warm cloth.