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A baby girl was born weighing 2.5 kg at 31 weeks' gestation to a 31-year-old woman (gravida 2, para 1). Hydrops fetalis had been diagnosed at 28 weeks' gestation, with subsequent positive parvovirus titers. The baby's Apgar score was 7 and 9 at one and five minutes, respectively, and a left pneumohydrothorax and marked pulmonary hypoplasia were present. Progressive respiratory distress was treated with mechanical ventilation, the insertion of two chest tubes, and nitric oxide. Her clinical condition deteriorated, and high-frequency oscillatory ventilation was instituted. When she was 16 hours of age, her intraarterial blood-pressure waveform abruptly dampened and bradycardia . . . [Full Text of this Article] |
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