A female newborn born at 39 weeks’ gestation develops respiratory distress and coughing after the initial breastfeeding attempt 1 hour after birth.
Born to a 34-year-old gravida 5, para 3 woman from Eastern Europe.
Pregnancy complicated by diet-controlled gestational diabetes mellitus.
Received routine prenatal care.
Prenatal maternal laboratory findings: Negative with no infectious risk factors.
Spontaneous vaginal delivery.
Apgar scores: 8 and 9 at 1 and 5 minutes, respectively.
The infant was vigorous at birth and no resuscitation was required. Her physical examination findings were normal as noted by the bedside nursing staff. During the infant’s first attempt to breastfeed, she developed coughing and spitting. After oropharyngeal suctioning, breastfeeding was reattempted. On the second attempt, in addition to coughing, the infant developed retractions and increased work of breathing. A thorough physical examination was performed, and her oral cavity exhibited the finding shown in Fig 1.
Heart rate: 139 beats/min....
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