Managing Complications in Pregnancy and Childbirth: - IAWG

Immediate newborn conditions or problemsS-145• If the newborn starts crying, stop ventilating and continueobserving breathing for 5 minutes after crying stops:- 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 frequency of breathing is less than 30 breaths perminute, continue ventilating;- If there is severe indrawing of the chest, ventilate with oxygen,if available (Box S-10, page S-147). Arrange to transfer thebaby to the most appropriate service for the care of sicknewborns.• If the newborn is not breathing regularly after 20 minutes ofventilation:- Transfer the baby to the most appropriate service for the careof sick newborns;- During the transfer, keep the newborn warm and ventilated, ifnecessary.• If there is no gasping or breathing at all after 20 minutes ofventilation, stop ventilating; the baby is stillborn. Provideemotional support to the family (page C-7).Box S-9Counteracting respiratory depression in the newborn causedby narcotic drugs