• Birth: Dry the baby, remove any wet towels and cover and start the clock or note the time.
• Within 30 seconds: Assess tone, colour, RR, heart rate.

Airway

Head in neutral position, consider Jaw thrust

Breathing

• Within 60 seconds: If gasping or not breathing - open the airway and give 5 inflation breaths (3 seconds each breath)
• No improvement in HR or chest rise: 5 more inflation breaths
• If hr has increased to above 100 but no chest rise then give ventilation breaths for 30 seconds
• If chest is moving but hr is slow then ventilation breaths for 30 secs

Chest compression

• No improvement/no or slow heart rate but chest rise seen: chest compressions

Drugs

*Given umbilical

• Bicarbonate
• adrenaline
• destrose