Abstract
This male child was born at term via an emergency cesarean section with symptoms of fetal distress manifested by reduced movements, abnormal heart rate, Apgar scores of 1 and 6, and an arterial cord pH of 6.93. A tight double nuchal cord was noticed that was immediately released. Stabilization included positive pressure ventilation with 100% oxygen, inhaled nitric oxide, and hypothermia for neuroprotection. No evidence of placental abruption or fetal–maternal hemorrhage was observed, and his hemoglobin level was 108 g/l (see Image 1).
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