Problems in the Neonate That May Require Resuscitation at Birth

Problem

Possible Causes

Respiratory distress/respiratory failure

Airway obstruction

Blood

Meconium

Mucus

Anatomical abnormalities of the airway (eg, agenesis, atresia, stenosis)

Antepartum disorders

Maternal diabetes

Maternal toxemia

Placental insufficiency

Placenta previa

Placental abruption

Maternal renovascular hypertension

Smoking (maternal)

Uterine tetany

Central nervous system abnormalities

Congenital abnormalities of the brain stem

Intracerebral hemorrhage

Spinal cord injury

Drugs that cause respiratory depression

Analgesics or hypnotics

Anesthetics

Magnesium sulfate

Opioids, maternal substance use

Intrapartum disorders causing asphyxia

Cord compression

Cord prolapse

Maternal and/or fetal blood loss

Maternal hypotension

Maternal hypoxemia

Placental insufficiency

Lung or chest disorder

Diaphragmatic hernia

Pneumothorax

Pulmonary hypoplasia

Pneumonia (congenital)

Surfactant deficiency

Prematurity

Infant of mother with diabetes

Cardiovascular compromise

Congenital heart disease

Ductal-dependent lesions causing hypoxia due to decreased pulmonary blood flow

Mixing lesions

Hypotension

Hypovolemia due to fetal or placental bleeding

Infection

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