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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 …
Competing interests None.
Ethics approval This study was conducted with the approval of the Institutional Review Board at the Ansan Hospital, Korea University College of Medicine.
Provenance and peer review Not commissioned; externally peer reviewed.