What should be done for a newborn experiencing bradycardia during resuscitation efforts?

In the scenario where a newborn is experiencing bradycardia during resuscitation efforts, immediate action is crucial due to the potential risk of compromised oxygen delivery and cardiac function. Initiating chest compressions is the correct response because bradycardia in newborns can lead to profound issues if not addressed quickly.

In newborns, bradycardia is defined as a heart rate less than 60 beats per minute, and this condition can indicate poor perfusion and the need for immediate resuscitative measures. According to neonatal resuscitation guidelines, if a newborn has an insufficient heart rate despite effective ventilations, chest compressions should be initiated to support circulation and improve cardiac output.

Continuing ventilation efforts alone may not be sufficient, especially if the heart rate does not improve. While monitoring heart rate is important, allowing bradycardia to persist without action can lead to further complications. Providing blow-by oxygen might be beneficial in some contexts, but it is not an appropriate intervention for active bradycardia during resuscitation, as it does not address the underlying issue of inadequate heart rate and perfusion.

Thus, by choosing to initiate chest compressions, one focuses on restoring adequate circulation and ensuring that life-saving interventions are taking place in a