Routine suctioning at birth has been the standard of care for newborns for decades. But recent evidence calls this practice into question, and many hospitals are moving away from it. But this doesn’t mean that suctioning is obsolete. Newborns in respiratory distress, those with low Apgar scores, and those struggling with the transition from fetus to newborn may still need bulb suctioning, or occasionally, suctioning with a machine. Here are five things you need to know about suctioning newborns.