What should be done about dilated pupils in newborns with asphyxia?

Patient's question:

Within the first hour after birth, the baby's face turned purple, accompanied by difficulty breathing. Additionally, the child was born via cesarean section. A friend's child was taken out of the delivery room after 1 hour of birth and was found to have a purple face, followed by the discovery of dilated pupils. What should be done if a newborn with asphyxia has dilated pupils?

Doctor's answer:

Hello, based on the information you provided, if the baby's face is cyanotic, considering the possibility of asphyxia, because the baby is delivered by caesarean section, the child's head will not be compressed by the birth canal, and intracranial hemorrhage caused by pupil dilation is impossible. Regardless of the cause, these symptoms are very serious. It is recommended to seek timely rescue. If it exceeds 5 minutes, the prognosis will not be ideal. Please be mentally prepared and it is recommended to go to a larger, grade-A hospital for treatment.

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