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ABSTRACT

Competency in neonatal resuscitation should be developed and maintained by every practicing nurse-midwife, although it is difficult to obtain the necessary experience. Individual competency should not, however, substitute for a formal institutional plan for responding to depressed neonates. This article reviews the knowledge base necessary to assess the neonate and to intervene appropriately. The management of the infant with meconium stained amniotic fluid is discussed. Ways for the nurse-midwife to gain adequate clinical practice are explored.