Congenitally corrected transposition of the great arteries

Abstract

[Extract] Our female baby S was born at 39 + 1 weeks by spontaneous vaginal birth (SVB) to a 21 year old Papua New Guinean mother, in her first pregnancy. Baby developed cardio- respiratory compromise at birth and required intermittent positive pressure ventilation (IPPV) via bag and mask for two (2) minutes before her heart rate increased to >100 beats per minute. Her color, which was initially dusky, pinked up and her perfusion improved prior to her transfer to our special care nursery for ongoing observation for an antenatally diagnosed cardiac anomaly. Her birth weight (BW) was 2.97 kg, head circumference (HC), 34 cm and length was 47.5 cm; all being appropriate for gestational age. Maternal serology was unremarkable, with an O positive blood group. However, her Group B Streptococcus (GBS) status was unknown. Her mother had developed pyrexia during labor, which could have been attributed to a prolonged second stage of labor or to that of a septic nature (Chen et al., 2012). A septic screen was performed and penicillin and gentamicin with antifungals were given until blood cultures were available at 48 h of incubation. These remained negative and the antibiotics were ceased.