A male infant is born at 39 2/7 weeks’ estimated gestational age to a 24-year-old, gravida 1, para 1 woman via primary cesarean section for failure to progress following induction of labor for chronic hypertension. The blood group of the mother is A positive with negative prenatal serologies. The pregnancy had been complicated due to a body mass index (BMI) greater than 30, gestational diabetes, and chronic hypertension. Anatomy scan at 20 weeks’ gestation is unable to visualize the stomach and bladder; however, a repeat anatomy scan at 24 weeks’ gestation is normal. Serum analyte screening result is normal, and cell-free DNA screening yields a normal male genotype (46X,Y).

In the delivery room, the Apgar scores are 8 and 9 at 1 and 5 minutes, respectively. Growth parameters are appropriate for gestational age. The infant is noted to have copious nasal and oral secretions at delivery, which are effectively treated...

You do not currently have access to this content.