•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