1. NEONATAL FLOW ALGORITHM
BIRTH
Term gestation?
Amnlotic fluid clear?
Breathing or crying?
Good muscle tone?
Provide warmth
Position clear airway*
(as necessary)
Dry, stimulate, reposition
Routine Care
Clear airway if needed
Dry
Assess color
Evaluate respiration heart rate and color
Give supplementary oxygen
Observational Care
Provide positive-pressure ventilation*
Post-resuscitation care
Provide positive-pressure
ventilation*
Administer chest compression
Administer epinephrine and/ or volume*
* Endotracheal intubation may be considered at several steps
HR <60
HR >60
Persistent cyanosis
Effective Ventilation, HR>100 & Pink
Pink
Breathing, HR>100 but cyanosis
Breathing, HR>100 & Pink
Yes No
Apneic or HR <100
Approximate Time A B C D
30 sec