Case Report 1

Abstract

The baby was born to 25 years old para I
lady at gestational age of 34+5 week by date.
Delivery was by emergency C/S for severe
maternal preeclampsia. It was a twin
pregnancy and this baby is twin B with birth
weight of 1680gm and apgar score of 6 and
7 at 1st and 5th minute respectively. Twin A
is also an alive male baby with birth weight
of 2.5kg. The pregnancy was uneventful till
two weeks back before the delivery when
the mother was diagnosed to have
hypertension. Since then the mother was
taking methyl dopa for the hypertension.
This baby was referred to our NICU for
respiratory distress and admitted to our
NICU at the age of 3hours on 28/12/2010/.
At admission she had heart rate of 37beat
per min and respiratory rate of 68 breath per
min with mild intercostals retraction. There
was no organomegaly and edema. She was
alert and had appropriate neonatal reflexes