Maximus R.
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