A male infant is born at 38 weeks’ gestation via emergency repeat cesarean delivery after the mother presented in labor with thick meconium-stained amniotic fluid present. Apgar scores are 2, 7, and 8 at 1, 5, and 10 minutes, respectively. After initial resuscitation in the delivery room that required intubation and suctioning of meconium, the infant is transferred to the neonatal intensive care unit. Respiratory support is weaned to high-flow nasal cannula. Hypoglycemia and neutropenia are found on initial blood work. A blood culture is performed, and ampicillin and cefotaxime are administered for high clinical suspicion of neonatal infection.

Maternal blood work includes blood type O, Rh positive, and negative antibody screen result. The mother tests negative for hepatitis B, human immunodeficiency virus, group B Streptococcus, and syphilis. She is immune to rubella. She did not have prolonged rupture of placental membranes or fever. There is no maternal history of...

Article PDF first page preview

Article PDF first page preview
You do not currently have access to this content.