What is the maximum time a newborn should be allowed to go without effective ventilation during resuscitation?

During neonatal resuscitation, effective ventilation is crucial for maintaining oxygenation and preventing hypoxic injury to the brain and other vital organs. The maximum time a newborn should be allowed to go without effective ventilation is 60 seconds. This interval is based on evidence that suggests prolonged periods without ventilation can lead to significant and potentially irreversible damage.

Increasing the time beyond 60 seconds could lead to adverse outcomes such as impaired neurological function due to oxygen deprivation. Therefore, within one minute, the healthcare provider should initiate effective ventilation if the newborn is not breathing adequately or is not transitioning well after birth. This is aligned with current guidelines emphasizing the importance of rapid response in resuscitation scenarios to optimize the newborn's survival and health outcomes.