Table 1

Changes from 2005 to 2010

For uncompromised babies, a delay in cord clamping of at least 1 min
Commence resuscitation using air
Use pulse oximeter attached to right wrist or hand to guide use of oxygen
Babies of less than 28 weeks gestation should be completely covered up to their necks in a food-grade plastic wrap or bag, without drying, immediately after birth. They should then be nursed under a radiant heater and stabilised.
Attempts to aspirate meconium from the nose and mouth of the unborn baby, while the head is still on the perineum, are not recommended.
If epinephrine is given, then the intravenous route is recommended using a dose of 10–30 µg/kg. If the tracheal route is used, it is likely that a dose of at least 50–100 µg/kg will be needed to achieve a similar effect to 10 µg/kg intravenously.
Use detection of exhaled carbon dioxide (capnography) in addition to clinical assessment to confirm placement of a tracheal tube.
Therapeutic hypothermia offered to newly born infants at term or near term with evolving moderate to severe hypoxic-ischaemic encephalopathy.