HOW TO PERFORM EMERGENCY NEONATAL RESUSCITATION IN THE DELIVERY ROOM

Neonatal resuscitation is an essential intervention to ensure survival and minimize complications in newborns who face difficulties in the transition from intrauterine to extrauterine life. Approximately 10% of newborns require some level of respiratory assistance at birth, and around 1% need advanced resuscitation measures. Well-conducted resuscitation, based on clear protocols and rapid identification of clinical signs, significantly reduces neonatal morbidity and mortality, preventing neurological damage and improving long-term outcomes. Successful neonatal resuscitation depends on structured steps, such as warming up and positioning the newborn, effective ventilation, chest compressions and, in more serious cases, the administration of medication. In addition, continuous monitoring of vital signs and post-resuscitation management are crucial to stabilizing the baby and preventing further complications. The application of evidence-based guidelines, such as those recommended by the American Academy of Pediatrics (AAP) and the Brazilian Society of Pediatrics (SBP), is indispensable for ensuring standardized and effective interventions. Continuous training of the healthcare team, through regular training and practical simulations, is an essential component for improving performance in emergency situations. The standardization of protocols in hospitals and the integration of multidisciplinary teams strengthen the clinical response and reduce intervention times. In conclusion, well-conducted neonatal resuscitation is a central element in newborn care, with a direct impact on reducing neonatal mortality and promoting a better quality of life for survivors.

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