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While approximately 85% of term newborns initiate spontaneous breathing independently, timely intervention is critical for those requiring assistance. Key updates in the 2025 guidelines emphasize umbilical cord management, recommending deferred cord clamping for at least 60 seconds in vigorous term and preterm infants (&lt;37 weeks). For nonvigorous term and preterm infants (\u226528 weeks), intact umbilical cord milking is suggested as an alternative. Respiratory support should be initiated within the \"golden minute,\" starting with 21% oxygen for term and late preterm infants (\u226535 weeks) and \u226530% for those &lt;32 weeks\u2019 gestation. The guidelines introduce video laryngoscopy as a preferred tool for less experienced providers and recognize supraglottic airways as a viable alternative to face masks or when intubation fails. 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