Abstract
A term baby boy was born by spontaneous vaginal delivery to a 34 year-old G4 P2 to 3 mother. Pregnancy was complicated by insulin-dependent gestational diabetes. There were good fetal movements throughout gestation. Labor was induced for decreased amniotic fluid. The second stage of labor (pushing) lasted for five hours, with mild fetal heart rate decelerations. Meconium stained fluid was noted just prior to delivery. Pediatrics was called after delivery for respiratory depression, however the infant rapidly improved with simple warm, dry stimulation. Apgars were 4 and 8. Birth weight was 4 kg. An umbilical artery cord gas was relatively unremarkable, with a pH of 7.15 and a base deficit of -5.
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