I don't think it is the intent of the NRP manual to recommend resuscitation take place skin to skin.  Initial steps are to take place skin to skin.  Once it is determined that baby needs resuscitation, baby needs to be moved to a firm flat surface with heat source ect.  

See lesson one page 18 Routine care:  Nearly 90% of newborns are vigorous term babies with no risk factors and clear amniotic fluid.  They do not need to be separated from mother to receive initial steps.....

Lesson 2 page 5 Provide warmth:  Baby should be placed under a radiant warmer so that resuscitation team has easy access to the baby.....

I teach NRP and we stress to keep mom and baby together skin to skin for initial assessment and if all is well, baby is to stay there. Initial assessment includes drying the baby, opening airway and stimulating baby to breathe.  It can also include wiping away mucous or suctioning if needed.  Suctioning is not a routine part of NRP.

Cordelia Merritt  RN BSN IBCLC


On May 16, 2010, at 9:00 PM, LACTNET automatic digest system wrote:

> Date:    Sun, 16 May 2010 20:52:39 -0400
> From:    Nikki Lee <[log in to unmask]>
> Subject: citations sought
> 
> Dear Friends:
> 
> The American Heart Association Neonatal Resuscitation program, 5th ed...says
> to leave the neonate skin to skin as part of resuscitation.
> 
> I am looking for other citations that also say this......that identify the
> mother's body as the place to resuscitate a newborn.
> 
> Does anyone have any references?


             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome