Compression-to-ventilation ratio for neonates is?

• A. 3:1
• B. 15:2
• C. 30:2
• D. 10:2

Answer: (A)

In neonatal resuscitation, the priority is to restore oxygenation because most newborn arrests begin with respiratory failure. That makes frequent ventilations more critical than many compressions alone. The recommended pattern is three chest compressions for every one breath. This 3:1 ratio keeps the baby receiving regular breaths to improve oxygen delivery while still providing enough compressions to maintain circulation. When you cycle through, you maintain a brisk pace—compressions around 100–120 per minute with the cadence of three compressions followed by one ventilation, repeated continuously.

These other ratios aren’t used for neonates because they reflect protocols for older children or adults (for example, more compressions with fewer ventilations, or different counts depending on the rescuers and setting). The 3:1 approach specifically addresses the neonatal physiology and typical cause of arrest in newborns.