1. Approximate
time
BIRTH
Routine Care:
Term Gestation?
A Amniotic Fluid Clear?
YES Provide warmth
Clear Airway if needed
Breathing / Crying? Dry
Good Muscle Tone? Assess Color
NO
30 sec  Provide warmth
 Positive clear airway*
(as necessary)
 Dry, stimulate, reposition
Breathing,
Evaluate: HR >100bpm
& Pink
RESPIRATIONS Observational Care
HEART RATE
COLOR
BREATHING, HR >100bpm PINK
but CYANOTIC
APNEIC or Give
HR <100bpm SUPPLEMENTAL
OXYGEN
30 sec
Persistent
Cyanosis
Effective Ventilation,
B Provide:
POSITIVE PRESSURE VENTILATION
HR >100bpm, Pink Postresuscitaion
Care
HR <60bmp HR >60bmp
Provide:
C POSITIVE PRESSURE VENTILATION
30 sec Administer:
CHEST COMPRESSIONS
HR <60bmp
Administer:
D EPINEPHRINE and/or VOLUME
*Endotracheal intubation may considered at
several steps