A Case Study of Antenatal Distress and Consequent Neonatal Respiratory Distress

CS, A 42-YEAR-OLD, GRAVIDA 2, para 1 Caucasian woman, presented at her private obstetrician's office at 36 weeks gestation with a complaint of decreased fetal movement for 24 hours. Fetal heart tones were present, membranes were intact, and there were no contractions. The first pregnancy had resulted in preterm labor at 36 weeks with no neonatal complications. CS's blood work indicated that she was type AB+, rubella immune, nonreactive rapid plasmin reagin (RPR) for venereal disease, hepatitis B surface antigen negative, and unknown group B streptococci status. Previous history was significant for herpes simplex, with no active disease during this pregnancy. CS was referred for a biophysical profile (BPP) and an oxytocin challenge test.