In this article, we describe the clinical course of a now 2-year-old girl born at 25 2/7 weeks’ gestation who required tracheostomy and home ventilation for severe bronchopulmonary dysplasia (BPD). Her course was also complicated by pulmonary hypertension and pulmonary vein stenosis.
She was born via cesarean section at 25 2/7 weeks’ gestation to a 30-year-old gravida 2, para 0-1-1-0 woman due to maternal preeclampsia with severe features and hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome. The mother had received 1 dose of antenatal steroids 30 minutes before delivery and required general anesthesia for delivery. The infant emerged nonvigorous, requiring positive pressure ventilation with a fraction of inspired oxygen (Fio2) up to 1, and thus, underwent intubation 4 minutes after birth. Apgar scores were 1, 2, and 7 at 1, 5, and 10 minutes, respectively. The infant’s birthweight was 690 g (41st percentile).
She required...
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