What signs may indicate that a newborn needs immediate resuscitation?

The determination of whether a newborn requires immediate resuscitation is primarily based on critical physiological signs. The presence of a lack of respiratory effort and bradycardia—slower than normal heart rate—are key indicators that emergency intervention is necessary.

When a newborn does not exhibit adequate respiratory effort, it means that they are not breathing effectively or at all, which is essential for oxygenation and overall survival. Bradycardia, defined as a heart rate below the normal range for neonates, often indicates inadequate oxygen delivery to vital organs. Together, these signs suggest a life-threatening condition that necessitates immediate action to restore normal respiratory function and heart rate, thereby stabilizing the newborn.

In contrast, healthy color and normal breathing, excessive crying and movement, as well as a normal heart rate and reflex actions, indicate that the newborn is likely stable and does not require resuscitative interventions. These signs typically demonstrate adequate physiological function, suggesting that the infant is responding well to their environment.