Nrp obstetric dating and assessment
For the purposes of these guidelines, the terms is intended to apply specifically to an infant at the time of birth.Approximately 10% of newborns require some assistance to begin breathing at birth.Those newly born infants who do not require resuscitation can generally be identified by a rapid assessment of the following 3 characteristics: If the answer to all 3 of these questions is “yes,” the baby does not need resuscitation and should not be separated from the mother.The baby should be dried, placed skin-to-skin with the mother, and covered with dry linen to maintain temperature.When a pulse is detectable, palpation of the umbilical pulse can also provide a rapid estimate of the pulse and is more accurate than palpation at other sites.A pulse oximeter can provide a continuous assessment of the pulse without interruption of other resuscitation measures, but the device takes 1 to 2 minutes to apply, and it may not function during states of very poor cardiac output or perfusion.Aspiration of meconium before delivery, during birth, or during resuscitation can cause severe meconium aspiration syndrome (MAS).
Practitioners who resuscitate infants at birth or at any time during the initial hospital admission should consider following these guidelines.
Anticipation, adequate preparation, accurate evaluation, and prompt initiation of support are critical for successful neonatal resuscitation.
At every delivery there should be at least 1 person whose primary responsibility is the newly born.
The decision to progress beyond the initial steps is determined by simultaneous assessment of 2 vital characteristics: respirations (apnea, gasping, or labored or unlabored breathing) and heart rate (whether greater than or less than 100 beats per minute).
Assessment of heart rate should be done by intermittently auscultating the precordial pulse.