What should be done if the baby has not responded to initial steps after the first minute?

When a newborn has not responded to the initial steps of resuscitation after the first minute, it is crucial to take decisive action to ensure the best possible outcome for the baby. Calling for help immediately is essential because advanced resuscitation methods may be necessary that require additional trained personnel and resources.

The early minutes after birth are critical, and if the infant does not show signs of improvement, healthcare providers should escalate their response. This includes mobilizing additional team members who can assist in providing advanced interventions such as bag-mask ventilation, intubation, or medication administration. Having more trained staff on hand can significantly enhance the resuscitation efforts and improve the chances of a positive outcome for the newborn.

Maintaining tactile stimulation might be helpful in the initial phase, but if there is no response after a minute, it is not sufficient as a standalone approach. Continuing routine checks may also be inadequate at this stage since the lack of response indicates the need for a more aggressive and systematic evaluation of the infant’s condition.