A video of a homebirth neonatal resuscitation (NR) was brought to my attention, being asked what I thought of it. Sharing it here is irrelevant, but the ensuing discussion after my viewing is not. Just know the whole unfolding was horrible to watch as the baby received tactile stimulation instead of Positive Pressure Ventilation (PPV), had wet blankets (and sometimes no blankets) on him and the PPV was done incorrectly.
As the discussion unraveled, commenters noted the assistant didn’t look very skilled in NR, that maybe she was nervous or just forgot some things she should have been doing… namely getting the bag & mask into the midwife’s hand so she didn’t have to do mouth-to-mouth on the baby.
My response to the entire video was one of, not only distress, by intense frustration (and anger?) that such a crucial, life-saving skill wasn’t second nature to the midwifery team.
Your homebirth midwife and her assistant should have NR embedded in their entire being, it being a body memory, able to be tapped into almost in their sleep. I don’t care how nervous anyone is. I don’t care how green the assistant. No professional should be at a birth without exquisite skill at NR.
If you’re reading this and go to births, I hope you’ll schedule a NR practice this week. Encourage your Peer Review to do a NR practice session at every meeting. If you have prenatals during the week, practice there.
Your skill can… and will… save lives.