How soon should PPV be initiated if a newborn is not breathing or gasping?

The correct time to initiate positive pressure ventilation (PPV) if a newborn is not breathing or gasping is within 1 minute of birth. This guideline is established to minimize the risk of hypoxia and potential brain injury, emphasizing the critical nature of prompt intervention.

During the transition from fetal to neonatal life, it is essential that newborns start breathing effectively shortly after birth. If a newborn shows no respiratory effort, it is vital to provide adequate ventilation support quickly. The recommendation is to assess the infant's condition and react swiftly—ideally within the first minute of delivery—when there is no spontaneous breathing or gasping present.

The timeline highlights the importance of not just recognizing the need for PPV, but acting promptly to ensure the best possible outcomes for the newborn. Initiating PPV too early or too late could compromise the baby's oxygenation and overall health, making this timing critical.