Managing Complications in Pregnancy and Childbirth: - IAWG

S-144 Immediate newborn conditions or problems• Once a seal is ensured and chest movement is present, ventilatethe newborn. Maintain the correct rate (approximately 40 breathsper minute) and the correct pressure (observe the chest for an easyrise and fall):- If the baby’s chest is rising, ventilation pressure is probablyadequate;- If the baby’s chest is not rising:- Recheck and correct, if necessary, the position of thenewborn (Fig S-28, page S-142);- Reposition the mask on the baby’s face to improve theseal between mask and face;- Squeeze the bag harder to increase ventilation pressure;- Repeat suction of mouth and nose to remove mucus,blood or meconium from the airway.• If the mother of the newborn received pethidine or morphine priorto delivery, consider administering naloxone after vital signs havebeen established (Box S-9, page S-145).• Ventilate for 1 minute and then stop and quickly assess if thenewborn is breathing spontaneously:- If breathing is normal (30–60 breaths per minute) and there isno indrawing of the chest and no grunting for 1 minute, nofurther resuscitation is needed. Proceed with initial care of thenewborn (page C-76);- If the newborn is not breathing, or the breathing is weak,continue ventilating until spontaneous breathing begins.