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Overview
4. Give 30 chest compressions followed by 2 breaths:
Wrap your hands around the baby’s body with your thumbs placed side-by-side on the center of the baby’s chest, just below the nipple line. Use your other fingers to wrap around the baby’s chest toward the back, providing support. Using both thumbs at the same time, press down hard and fast on the infant's chest about 1 ½ inches (4 cm). If you are unable to compress the baby’s chest far enough with your hands wrapped around the chest, place the heel of one hand on the breastbone -- just below the nipples.
Give 30 chest compressions. Each time, let the chest rise completely after each compression. These compressions should be fast and hard with no pausing. Count the 30 compressions quickly: "1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30, off."
Review Date 2/10/2026
Updated by: Jesse Borke, MD, CPE, FAAEM, FACEP, Attending Physician at Kaiser Permanente, Orange County, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.