What should be done if the heart rate is between 60-99 bpm after 30 seconds of PPV?

In the scenario where the heart rate is between 60-99 bpm after 30 seconds of positive pressure ventilation (PPV), the appropriate action is to reassess ventilation and apply corrective steps if necessary. This is because a heart rate in this range indicates that the newborn may still not be adequately ventilated.

Continuing PPV without changes could prolong ineffective ventilation and potentially hinder the baby's recovery. Therefore, reassessing the adequacy of the ventilation is crucial. This can include checking the position of the endotracheal tube (if it is being used), ensuring an effective seal with the mask, and verifying that there is proper chest rise observed with each breath.

Addressing these factors is vital to increase the likelihood of improving the heart rate into a healthier range, which indicates the infant is responding to resuscitation efforts.