Structured Approach to Initial Newborn Support: Give 5 INFLATION breaths

If the baby is gasping or not breathing following initial stimulation after birth, then FIVE INFLATION breaths are indicated.

Using a self-inflating resuscitation bag, attached to an appropriately sized mask five sustained breaths should be delivered to the newborn.

These breaths should be delivered over 2-3 seconds – using room air.

• The first 2-3 breaths will replace the fluid in the lungs with air, therefore chest rise is unlikely at this point.
• The 4-5 inflation breath might produce chest wall movement as the lungs are aerated.
• Apply Sp02 and ECG if this hasn’t already been done.

Two-Person Approach to Inflation Breaths