 The management of respiratory support is according to international guidelines and a detailed description is provided in the clinical management appendix. The intervention is respiratory support for the first 10-30 minutes of life and will begin after birth when the infant is transferred to the resuscitation team. The intervention ends 1 when an infant is intubated primary outcome, 2 after a minimum of 10 minutes support, with the randomized system, the patient is stable and breathing adequately, 3 at 30 minutes when the respiratory support can continue as decided by the clinicians cross-over not allowed. 