this 1 day , old baby, born by LSCS , having RDS and redness of face Diagnosis ?



Severe oligohydramnios with obstructed labour ,emergency LSCS done for foetal distress. 2. PROM. ...infection 3. leaking with emergency cs with face presentation. 4 Septicemia due to prom.

Application of vaccum by untrained dr misjudged to be face presentation.

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Looks like echymosis during trial vaginal delivery which will disappear over weeks. Look for any congenital anomaly. Commonest cause of RDS at this stage is due to RSV (Respiratory Syncitial Virus ) . However rule out bacterial causes like Staphylococcus aureus, Streptococcus pneumoniae, Group A and B Streptococci, Haemophilus influenzae etc, and treatment may be given accordingly.

dear doctor RSV doesn't cause RDS at birth in newborn.

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RDS : Common cause is TTNB. Other causes can be evaluated depending upon GA/ Risk factors. Dx : EXTENSIVE CAPILLARY HEMANGIOMA. Search for other sites like CNS/Liver/Kidney etc. Look for other Congenital anomalies.

looks like ecchymosis secondary to abnormal pressure due to position inside Uterus or failed forceps extraction!!( and hence took up for lscs).

seems due to pressure on face d/t abN position in uterus... would improve over days to wks.

ventouse application during lscs.there is a clear cut round ecchymosis on face.plz tell d correct diagnosis

Face is Suffused face. Manage RDSand wait and watch.

Term face presentation with obstructed labour done Em LSCS. oedema and redness due to obstruction face presentation with obstruction.

Imprint of vacuum as there are no visible rashes over body

may be face presentation or ventouse/forceps trial ..failing which underwent lscs

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