Umbilical arterial blood gas analysis (UABGA) is conducive to detect perinatal acidemia and hypoxia and provides a reference for early diagnosis and treatment of neonates in their first minutes of life. To standardize the clinical practice of UABGA in China, an expert committee is established to provide official consensus-based recommendations on UABGA. Based on the official guidelines from worldwide and relevant literature with high-quality evidence, the consensus was developed by face-to-face meetings among experts with multidisciplinary backgrounds, focusing on the significance, sampling, detection, interpretation of results, and guidance of clinical decision-making of UABGA.