Neonatal Resuscitation for MRCOG: Updated 2026

A primiparous woman presents in spontaneous labout at 41 weeks gestation and rapidly has a spontaneous vaginal delivery.  The baby is born in poor condition with no respiratory effort and a heart rate of 90 beats per minute despite drying and stimulation and requires extensive  resuscitation.  Despite intubation, effective ventilation and chest compressions, the neonatal heart rate remains below 60bpm and the resuscitation is prolonged.  Which of the following is not indicated in ongoing management?

A primiparous woman presents in spontaneous labout at 41 weeks gestation and rapidly has a spontaneous vaginal delivery.  The baby is born in poor condition with no respiratory effort and a heart rate of 90 beats per minute despite drying and stimulation and requires inflation breaths for resuscitation.  Pre-ductal oxygen saturations (SpO₂) are commenced for further monitoring.  What is an acceptable pre-ductal SpO₂ at 3 minutes of age?