Neonatal Resuscitation, Birth Asphyxia and Immediate Perinatal Transition Care — WACS Viva & Clinical Scenarios (Obstetrics & Neonatal Care)

Exam-style neonatal resuscitation, birth asphyxia and immediate perinatal transition care viva scenarios with examiner probes and model answers for ANAESTHESIA…

Scenarios covered

• SCENARIO 1: Scenario 1: You receive a full-term male infant delivered by emergency Caesarean section for prolonged second stage of labour. The baby is limp, cyanotic, and apnoeic. The heart rate on auscultation is 55 bpm. There is no meconium. Outline your step-by-step resuscitation protocol from time zero to 60 seconds (The Golden Minute) and subsequent escalation.
• SCENARIO 2: Scenario 2: During a high-risk delivery for acute placental abruption, a neonate is born completely unreactive with a heart rate of 40 bpm. You initiate positive pressure ventilation via face mask, but after 30 seconds of ventilation that visibly moves the chest, the heart rate remains 45 bpm. What are your immediate corrective actions, and how do you execute advanced neonatal life support including chest compressions, vascular access, and medications?
• SCENARIO 3: Scenario 3: A 28-week preterm infant weighing 1.1 kg is delivered precipitously in the labour ward. Describe your comprehensive thermal management, delivery room respiratory support, target oxygen saturation profile over the first 10 minutes of life, and surfactant administration strategy.
• SCENARIO 4: Scenario 4: A full-term infant is delivered through thick meconium-stained amniotic fluid following an unbooked, complicated home labour. The baby is floppy, apnoeic, and covered in thick particulate meconium with HR 70 bpm. What is the current evidence-based protocol for managing meconium-stained amniotic fluid in a depressed neonate, and how do you proceed?