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We would like to use a case of a newly born infant with hydrops fetalis requiring extensive resuscitation to draw the readers’ attention to potential limitations of ECG monitoring of heart rate (HR) in the delivery room (DR).
Following an antenatal diagnosis of non-immune hydrops fetalis, with bilateral pleural effusions, ascites, subcutaneous oedema and estimated birth weight of 4240 g (>99th centile), an infant was delivered by caesarean section at 33 weeks’ gestation following antenatal corticosteroid administration. Experienced neonatal resuscitation team members were assembled with additional equipment (ultrasound machine) as a difficult transition was expected.
Immediately after birth, pulse oximetry (PO) and ECG leads were applied …
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