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FIGURE 9.18 Meconium aspiration radiograph Assessment of Heart Rate Use a 3-lead ECG for rapid and accurate assessment of heart rate during the resuscitation of term and preterm newborns Clinical assessment (auscultation of the precordium) with pulse oximetry used as an adjunct to provide noninvasive continuous assessment of HR during resuscitation has been shown to be unreliable and inaccurate Pulse oximeter use is be reserved for continuous evaluation of the newborn’s oxygenation Assessment of Need for Supplemental Oxygen Pulse oximetry should be used during resuscitation, during administration of PPV, when supplemental oxygen is administered, or when central cyanosis persists beyond the first to 10 minutes of life UMBILICAL CORD MANAGEMENT Evidence has emerged in recent years to suggest that delayed cord clamping (DCC) is favorable for newly born infants who not require immediate resuscitation Specifically, DCC is associated with less IVH, higher blood volume, higher blood pressure, less need for blood transfusion, and less necrotizing enterocolitis (NEC) To date, there is no evidence of decreased