To study the impact of neonatal resuscitation program (NRP) guidelines on delivery room (DR) management of infants born through meconium-stained amniotic fluid (MSAF).

Strict adherence to the timing of neonatal resuscitation guidelines might be as unnecessary as it is impossible.

Neonatal resuscitation training programs are shifting from lecture-based learning in a classroom to hands-on simulated practical programs in a real-world environment.

Intrapartum-related events (birth asphyxia) contribute to approximately one-quarter of neonatal deaths, many of which can be prevented by simple resuscitation and newborn care interventions.