•Born to a 32 year old
primagravida
•Fetal distress
(bradycardia) during labor
•C-section-meconium noted at
membrane rupture
•Apgar scores 1 and 6 ( at 1
and 5 minutes)
•Persistent hypoxia despite FiO2 1.0 (pO2
>700)
•IPPV initiated without
significant increase in pO2
•pH 7.30, pCO2 48, pO2 38,
HCO3 22
•Diagnosis: persistent fetal
circulation