A. Recognition and treatment of Primary and Secondary apnea
1. Primary Apnea: When asphyxiated, the infant responds with a increased respiratory
rate. If the episode continues, the infant becomes apnic, followed by a drop in heart rate
and a slight increase in blood pressure. The infant will respond to stimulation and 02 therapy with
2. Secondary apnea: When asphyxia is allowed to continue after primary
apnea, the infant responds with a period a gasping respirations, falling heart rate, and
falling blood pressure. The infant takes a last breath
and then enters the secondary apnea period. The infant will not respond
to stimulation and death will occur unless resuscitation begins immediately.
* Because after delivery of an infant it is impossible to differentiate between
primary apnea and secondary apnea, assume the infant is in secondary apnea and begin resuscitation immediately.
I hope this helps!