As per the neonatal resuscitation directive, for greater than >24 hours and the HR <60 do you start compressions right away? (less than onset puberty <60 HR with signs hypoperfusion start compressions) or start with BVM for 30 sec on room air then see if HR goes up? Then go from there.
Per the OBHG Companion Document:
For neonates >24h old with HR is less than 60 bpm but greater than 0:you must still start with effective PPV on room air (for 30 seconds) prior to initiating PPV with 100% O2 and chest compressions.
For neonates > 24h old in cardiac arrest: chest compressions are indicated immediately along with positive pressure ventilation (BVM) using 100% oxygen.