When suctioning newborns, what is the recommended order?

The recommended order for suctioning newborns is to suction the mouth first, then the nose. This sequence is important for several reasons. Suctioning the mouth first helps to clear any secretions or fluids that may obstruct the airway and ensures that the newborn can breathe adequately through the mouth, which is critical in their immediate post-delivery care.

After the mouth has been cleared, suctioning the nose can be performed to help facilitate nasal breathing, especially since newborns are obligate nasal breathers. If the nose is suctioned first, there is a risk that any upper airway secretions could be pushed back into the throat, potentially obstructing the airway or triggering a gag reflex. Therefore, the correct sequence effectively removes obstructions while minimizing risks and aiding in the immediate stabilization of the newborn.