Form pairs. One is the midwife and the other one is the observer.

The observer presents the case to the midwife:

This baby was born 15 seconds ago after a normal delivery with clear water at term. It is not crying or moving its arms and legs. What will you consider and what will you do?

Every time one of the considerations below (1-10) is mentioned and/or is shown correctly, the observer should give points:

• 2 points for fully answering what is mentioned
• 1 point for partially answering what is mentioned
• 0 for wrong answer or not considering what is mentioned

Calculate the total number of points to see which pair scored the highest.

Afterwards:

1. Watch the entire video on Neonatal Resuscitation together
2. Go through the resuscitation procedure theoretically with help from the action card
3. Wrap up the exercise by going through the procedure once again

Considerations

1. Golden minute
– The Golden minute: All newborns should by one minute of age breathe on their own or should be ventilated with a bag and a mask.

2. Dry the newborn
– Dry thoroughly

3. Assessment
– Assess the newborn immediately

4. Meconium
– If thick meconium: clear mouth and nose and suction airways before ventilating

5. Stimulate
– Stimulate the newborn by rubbing its back thoroughly

6. Call for help + cord clamping
– Call for help
– And clamp the cord / follow your facility’s routine for when to cut the cord during resuscitation

7. Airway
– Resuscitation table
– Position in the sniffing position
– Position so the mask covers mouth and nose
– Reposition if the chest does not rise
– Consider performing jaw thrust

8. Ventilation breaths
– Ventilation breaths at a rate of 40 breaths per minute

9. Assessment
– Assess breathing and heart rate every minute.
– Continue ventilation breaths as long as the breathing is insufficient or the heart rate is below 100

10. When to stop
– Not breathing or no pulse after 10 minutes of effective ventilation OR a heart rate below 60 beats per minute for more than 20 minutes