In addition to those noted in table Problems in the Neonate That May Require Resuscitation, some other risk factors include Lack of prenatal care Gestational age < 36 weeks or ≥ 41 weeks Multiple gestation Need for forceps, vacuum assist or emergency cesarean delivery Meconium-stained fluid Shoulder dystocia, breech, or other abnormal presentation Certain abnormal heart rate patterns in the fetus Signs of infection in the infant Maternal risk factors (eg, fever, untreated or inadequately treated group B strep infection) Algorithm for resuscitation of neonates * PPV: Initiate resuscitation with room air (21% O2) for infants ≥ 35 weeks gestational age or 21 to 30% O2 for infants < 35 weeks gestational age.