Spanish 2026 guidelines for neonatal stabilization and resuscitation: analysis, adaptation, and position statement of the neonatal resuscitation Group of the Spanish Society of Neonatology

The recommendations of the International Liaison Committee on Resuscitation (ILCOR) published at the end of 2025 provide the current scientific framework for neonatal resuscitation and support in the transition to extrauterine life. As in previous updates, the Neonatal Resuscitation Group of the Spanish Society of Neonatology (GRN-SENeo) presents a review and position document analyzing the changes introduced with respect to the previous guideline and adapting the current evidence to the specific circumstances and health care context of Spain. The aim of this document is to disseminate the position of the group on the implementation of these recommendations at the national level, reached by consensus and addressing the most controversial aspects through the nominal group technique. The management algorithms are reviewed and updated, incorporating new aspects in pre-delivery neonatal management planning and briefing, umbilical cord management, initial stabilization, ventilation and oxygen supplementation strategies, as well as the use of new devices and vascular access routes. Through this guideline, the GRN-SENeo establishes a sustained institutional reference framework aimed at ensuring homogeneity, safety and quality in the management of the newborn in the delivery room, while fulfilling its commitment to continuous updating as scientific knowledge evolves.