A 26-3/7-weeks’ gestation, 800-g female infant was born to a 28-year-old woman whose prenatal course was complicated by an incompetent cervix and marginal placenta previa. The mother received tocolytics and antenatal corticosteroids when contractions started. Use of tocolytics was discontinued, and labor was allowed to progress when chorioamnionitis was suspected. The loss of fetal heart tones necessitated an emergency cesarean section. At delivery, the infant was in the breech position. Arterial cord blood gas analysis revealed pH 7.21. Apgar scores were 2 and 7 at 1 and 5 minutes, respectively. The infant was intubated in the delivery room and given surfactant replacement therapy. The physical examination findings were normal except for bruising and immaturity. The complete blood cell (CBC) count was normal except for a minimally low hematocrit of 39% (0.39), a finding explained by the bruising. The infant did not receive any further surfactant replacement therapy and continued to...

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