. Be present at the time of birth.
2. Be prepared to face an asphyxiated baby in any delivery, but especially if the delivery is prolonged, obstructed or if the liquor is thick and green.
3. Record the exact time of birth. Start counting time.
4. Place baby on a clean cloth on a flat surface.
5. Clean the nose and mouth with a clean gauze.
6. Clean and dry the skin of the baby with a soft cloth.
7. At 60 seconds (1996 to 1999), or at 30 seconds (from 1999) examine the cry and respiration
If both are present and vigorous — normal.
If any one of the following is present: no cry or no breathing or weak breathing/gasping; diagnose as asphyxia and perform further steps.
8. Clean mouth, throat and nose with mucus extractor.
9. If baby did not yet cry/breathe, clamp and cut the umbilical cord.
10. Place the baby on a flat surface, with a folded cloth under shoulders to extend the neck.
11. Open the mouth. Place the mask on mouth and nose.
12. Ventilate lungs (tube and mask (1996 to 1999) or bag and mask (1999 to 2003)) 30 to 40 times a minute. Observe the chest expansion.
13. Stop and observe for spontaneous breathing once every minute.
14. Record the breathing at 5 minutes.
15. Stop ventilating either when the baby starts breathing spontaneously or if no breathing even at 15 minutes — declare as stillbirth.
16. Record all events, findings and outcome.
17. If a neonate was asphyxiated and ventilated at birth, consider it as a "high-risk" neonate and visit more frequently.