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Published on: April 7, 2023
AHA/AAP 2025 neonatal resuscitation guideline update: Key changes and practice implications for pediatricians
Saroj Kumar Tripathy1, Sarthak Das2
1Associate Professor, Department of Pediatrics, All India Institute of Medical Sciences Deoghar, Jharkhand, India.
Tropical Doctor
|August 14, 2026
Summary
The 2025 neonatal resuscitation guidelines emphasize a continuum of care, focusing on ventilation, thermal regulation, and team readiness. These updates refine newborn resuscitation for better infant outcomes.
Area of Science:
- Neonatology
- Pediatric Resuscitation
- Evidence-Based Medicine
Background:
- Neonatal resuscitation requires updated evidence-based guidelines.
- The American Heart Association and American Academy of Pediatrics collaborate on these recommendations.
Purpose of the Study:
- To present the 2025 neonatal resuscitation guidelines.
- To outline crucial actions during and after delivery for newborns.
Main Methods:
- Evidence review and guideline development by expert committees.
- Incorporation of monitoring (pulse oximetry, ECG) and specific interventions.
Main Results:
- Ventilation rates (30-60/min) and oxygen use (≥30% for <32 weeks) are specified.
- Deferred cord clamping (≥60 sec), thermal regulation, and skin-to-skin contact are recommended.
- Laryngeal mask airways are an alternative for failed bag-mask ventilation in term infants.
Conclusions:
- The 2025 guidelines represent a shift towards a continuum of care in neonatal resuscitation.
- Emphasis is placed on system readiness, team integration, physiological targets, and structured recovery.
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