Jonathan M. Klein, MD, Julie Lindower, MD
Peer Review Status: Internally Peer Reviewed 4/18/12

Resuscitation in the delivery room (see Neonatal resuscitation flowchart)

Use of Medications in the delivery room (see section on Neonatal resuscitation medications).

Term infants who have required aggressive resuscitation in the delivery room (birth asphyxia, meconium aspiration, etc.) are at risk of developing persistent pulmonary hypertension of the newborn (PFC) and initially should be closely observed with continuous pulse oximetry for signs of respiratory decompensation and/or right to left shunting, before slowly decreasing their supplemental oxygen while maintaining saturations > 94%.

Reference for Neonatal Resuscitation Guidelines:  Circulation 2010;122:S909-S919. Pediatrics 2010;126:e1400-e1413.