In cases of prolonged resuscitation, should the focus be on the newborn or the placenta?

In situations of prolonged resuscitation, considering the placenta is crucial because it plays an essential role in sustaining the newborn's life during the critical moments immediately following birth. The placenta provides necessary oxygen and nutrients, facilitating vital physiological functions for the infant. After birth, if the newborn shows signs of distress or requires resuscitation efforts that extend beyond the initial moments, the health and viability of the placenta must also be evaluated to ensure that the newborn is not deprived of additional oxygenated blood that may still be flowing through the umbilical cord.

Additionally, an intact and functional placenta can help support the newborn until effective respiratory and circulatory function is established. Focusing solely on the newborn without considering the placenta could lead to missed opportunities to improve the newborn's condition. In prolonged resuscitation scenarios, a holistic approach that considers both the newborn’s needs and the status of the placenta is vital for optimizing outcomes.