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- W2045842941 abstract "Tn IS G IR L was born after a 41-week gestation. The mother was a 19-year-old primipara. A urinary tract infection at 28 weeks had been treated witff antibiotics, and mild anemia (hemoglobin 10.8 gm/dl) at 36 weeks complicated the pregnancy. Onset of labor was followed in 90 minutes b.y rupture of fetal membranes. The amniotic fluid was clear. Thirteen hours later the baby was born. There was no maternal fever. External fetal monitoring was used for the last nine hours of labor. The baseline fetal heart rate was 160/minute, with poor beat-to-beat variability and late decelerations. Meperidine, hydroxyzine, levallorphan, and chlorpromazine were given to the mother during labor. The infant was delivered from a vertex presentation with application of low forceps under saddle-block anesthesia. The cord was wrapped tightly around the infant's neck. The infant gasped initially, but did not pass meconium. She had Apgar scores of 2 at one minute, 4 at five minutes, and 8 at 15 minutes. The baby responded to tactile stimulation and to oxygen given by endotracheal tube. The infant's respiratory rate was 52/minute, temper aturr 37.8~ heart rate 160/minute, blood pressure 48 mm Hg, blood glucose concentration 90 to 130 mg/dl. She weighed 3,095 gm (thirtieth percentile) and measured 49.5 cm in lengtla (fiftieth percentile). Her gestational age was 4! weeks by Dubowitz score, and she was inactive with no respiratory distress. Her lower thorax was ecchymotic, and she haddiminished muscle tone with adequate Moro and fair suck reflexes. Her hemoglobin was 18.1 gm/dl, hematocrit 55.1 vol% of white blood count 13,800/mm 3," @default.
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- W2045842941 date "1980-05-01" @default.
- W2045842941 modified "2023-09-23" @default.
- W2045842941 title "Respiratory distress and shock in a term neonate" @default.
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- W2045842941 doi "https://doi.org/10.1016/s0022-3476(80)80589-0" @default.
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