A 2,400-g, 34 6/7-week-gestation male infant was delivered by normal spontaneous vaginal delivery to a 32-year-old gravida 1, para 0 mother. Labor was induced secondary to maternal hypertension. Complications during pregnancy included severe preeclampsia, gestational diabetes, and known Rh incompatibility. The mother did not receive Rho(D) immune globulin for unclear reasons. On admission, her Rh titer was 1:32. A brief period of positive pressure ventilation was needed at birth. The infant’s Apgar scores were 1, 8, and 8 at 1, 5, and 10 minutes, respectively. The direct Coombs test result was positive. The complete blood cell count (CBC) was normal, except for a hematocrit of 36.9% (0.37). The mother’s blood type was B Rh negative and the infant’s was O Rh positive. A cord bilirubin concentration was ordered but not measured. The plaintiff neonatologist was critical of this omission. A peripheral intravenous line was placed, with 10% dextrose infused at...

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