Maintain axillary temperature greater than 36.5 degrees Celsius by:

• Drying the infant and replacing wet wraps,
• the use of a polyethylene bag or sheet (food grade, heat resistant) for infants less than 1500 grams birth weight or less than 32 weeks’ gestation.
• Pre -Warmed wraps
• Hats or beanie’s
• Healthy term infant skin to skin as soon as practicable

Maintain oxygen saturations at target range based on infant’s gestational age by:

• Attend to airway, breathing & circulation,
• Be aware of maternal risk factors,
• Note type of birth (difficult, instrumental,
• Note APGARS, then act appropriately accordingly.
• Assess and monitor the infants: colour, respiratory rate and work of breathing, heart rate and going through the resuscitation algorithm (DR ABC).

Maintain blood glucose level greater than 2.6mmol/L by:

• Maintain temperature and oxygenation
• If the infant is unstable and or preterm ensure infant is kept warm, and establish a glucose supply (IVT)
• In stable term infant initial breast feeding should be attended to as soon as practicable
• Monitor and assess the preterm infant and quickly transfer to the nursery if needed.

At birth (up until the first 24 hours) maintain MAP equal to or greater than the infants gestational age by:

• Assess for risk factors for antepartum haemorrhage (APH),
• Did the infant require some form of resuscitation thus putting them at risk (Note APGARS).
• Have you attended to the other factors and ensured normality?
• Fluid resus if required including use of blood products if applicable

Maintain carbon dioxide levels between 35-45 mmHg by:

• By attending to the above H’s.
• If anything is abnormal, take to resuscitaire, assess and monitor the infant and provide intervention
• Provide oxygen +/- respiratory support