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A male infant born at 38+1 weeks' gestation by spontaneous vaginal delivery at a regional maternity hospital weighed 2860 g. No active resuscitation was required apart from gentle oropharyngeal suctioning. At 8 h of age, progressive respiratory distress with tachypnoea and subcostal retractions developed. Dyspnoea and desaturation persisted despite supplemental oxygen of 3 l/min in the incubator. Acute swelling of the upper thorax, neck and scalp were noted at 24 h of age.
On arrival to the neonatal intensive care unit, there were no other significant abnormalities noted except for marked …
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