What should be your intervention for a newborn that remains apneic after stimulation post-delivery?

For a newborn who remains apneic after stimulation post-delivery, beginning positive pressure ventilation (PPV) is the most appropriate intervention. This is because after birth, the immediate goal is to establish effective ventilation if the newborn is not breathing adequately on their own.

While supplemental oxygen is important for newborns who need respiratory support, it does not address the underlying issue of apneic breathing. Simply waiting for spontaneous breathing is not advisable, especially if the newborn is not showing signs of improvement, as this could lead to severe complications. Additionally, performing cardiopulmonary resuscitation (CPR) is unnecessary at this stage unless there is a clear indication of cardiac arrest, which is not generally the case after initial resuscitation efforts have been made.

PPV provides the necessary pressure to open the newborn's lungs and facilitate gas exchange, helping to restore adequate oxygenation and normal breathing patterns. Therefore, utilizing PPV is crucial in managing a newborn who is not breathing effectively after delivery.