Highlights of the New Neonatal Resuscitation Program Guidelines

In 2015, the neonatal guidelines for resuscitation were published with several new treatment guidelines. Many of these are highlighted in this review. They included changes in the algorithm, timing of cord clamping in the preterm infant, optimizing detection of heart rate after birth, maintaining the premature infant temperature in the delivery room, initiating oxygen use during resuscitation, and using sustained inflation to establish functional residual capacity. In the term infant, changes included management of the nonbreathing infant delivered in the presence of meconium-stained amniotic fluid and consideration for when to continue/discontinue resuscitation in infants with an Apgar score of 0 after 10 minutes of resuscitation.