ABSTRACT
A 5-hour-old male newborn on the postnatal ward is noticed by the midwife because he looks blue around the lips and tongue. He is the first child of a 27-year-old mother with asthma who was taking inhaled steroids throughout her pregnancy. Antenatal scans were unremarkable. She went into spontaneous labour at 41 weeks, and there was thin meconium staining of the liquor, when the membranes ruptured 1 hour before delivery. Cardiotocograph (CTG) monitoring during labour revealed normal variability of fetal heart rate. The baby was born by normal vaginal delivery and weighed 3.3 kg. The Apgar scores were 7 at 1 min and 8 at 5 min.
