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All resuscitation procedures, including endotracheal intubation, chest compression, and insertion of intravenous lines, can be performed with these temperature-controlling interventions in place (Class IIb, LOE C).Infants born to febrile mothers have been reported to have a higher incidence of perinatal respiratory depression, neonatal seizures, and cerebral palsy and an increased risk of mortality.With careful consideration of risk factors, the majority of newborns who will need resuscitation can be identified before birth.If the possible need for resuscitation is anticipated, additional skilled personnel should be recruited and the necessary equipment prepared.At every delivery there should be at least 1 person whose primary responsibility is the newly born.This person must be capable of initiating resuscitation, including administration of positive-pressure ventilation and chest compressions.Either that person or someone else who is promptly available should have the skills required to perform a complete resuscitation, including endotracheal intubation and administration of medications.
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Although the vast majority of newly born infants do not require intervention to make the transition from intrauterine to extrauterine life, because of the large total number of births, a sizable number will require some degree of resuscitation.