Hi, this is Tom, and in this episode I'm going to be going through newborn resuscitation.

And you can find notes at zero to finals.com slash newborn resuscitation and in the zero to finals

pediatrics book. And you can find flashcards and questions at members.0 tofinals.com.

So let's jump straight in.

Most newborn babies will cry shortly after birth, begin breathing normally, and require

no resuscitation.

Resuscitation is only required when problems affect their breathing, heart rate,

tone or colour. The Resuscitation Council UK provides guidelines and an algorithm for newborn resuscitation.

This section covers the principles for understanding and for exam purposes.

Managing unwell patients requires formal training and senior support.

At all times, consider the need for additional help.

Where possible problems are anticipated at birth, for example premature labour or an unwell mother,

a dedicated person or team, for example pediatric doctors, responsible specifically for neonatal

resuscitation, will be called to attend the birth.

If everything goes well and the baby's fine, they'll get sent away.

Let's talk about hypoxia.

Hypoxia, or a low oxygen, is a key concern in newborn resuscitation.

Normal labour and birth involve a certain amount of fetal hypoxia or

low oxygen. During contractions, gaseous exchange is reduced in the placenta, leading to reduced

oxygen saturation. Normally the fetus can cope well with this and they're able to recover and do well long

term.

Extended or severe hypoxia can lead to anaerobic respiration, bradycardia or a low fetal heart

...