CASE STUDY
Baby Girl P was a 1,460 gm infant born at 32 weeks gestation by spontaneous vaginal delivery to a 27-year-old tion Hispanic mother who was gravida 5, para 1, ab 1, newborn death 3. Maternal history was as follows: blood type O positive, VDRI negative, rubella immune, tuberculin purified protein derivative (PPD) positive, chest x-ray normal, and HbsAg negative. The pregnancy was complicated by premature rupture of membranes (PROM) one week prior to delivery and preterm labor. Antibiotic therapy was given for treatment of the PROM. The mother also received steroids in anticipation of the delivery of a preterm infant. Tocolytic magnesium sulfate therapy failed, and labor progressed. The infant was delivered vaginally with Apgar scores of 6 and 8 at one and five minutes. Resuscitation consisted of suctioning of the thin meconium noted at delivery, oxygen administration, drying, and stimulation.