Cord milking (from placenta towards baby): 

• ≥35 weeks: can milk intact cord if non-vigorous despite simulation OR early cord clamping

• 28-34 weeks: no evidence 

• <28 weeks: harmful

Starting FiO2:

• ≥ 35 weeks: 21%

• 32 - 34 weeks: 21-30%

• <32 weeks: ≥ 30%

Ventilation targets:

• Rate: 30-60 breaths per minute

• PIP (increase in increments of 5): 

  • ≥ 32 weeks 25-30 cm H2O

  • <32 weeks 20-25 cm H2O 

• PEEP: 5 (increase in increments of 1)

• If HR is not increasing within 15 - 30 seconds of starting PPV and/or no observed chest rise, start ventilation corrective steps (MR SOPA)

ETT sizing:

• < 1200 g or <28 weeks GA: 2.5 ETT

• 1200 - 2200 g or 29-34 weeks GA: 3.0 ETT

• >2200 g or >34 weeks GA: 3.5 ETT