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Vishal Gupta and Aakash Pandita
A 29 weeks gestation preterm female baby born to 24 years old Primi mother by spontaneous vaginal delivery. Mother Blood group A positive, HBsAg Negative, HIV negative. Ultrasound scan done at 20 weeks of gestation was normal. No further scan was done. Born by spontaneous vaginal delivery, cephalic presentation, no meconium stained amniotic fluid present. Baby did not cried at birth and was floppy with APGAR score of 5 and 7 at 1 and 5 minute respectively. At birth abdomen was distended. Due to poor respiratory effort she was intubated in labor room.