Neonatal Depression After Complicated Cesarean Delivery: Resuscitation Guided by the Neonatal Resuscitation Program

Authors

• Bhakti Sevak
• Jennifer Zajac
• Peter Panagopoulos
• Roy Soto, Corewell Health East
• Farah Aboufakhr, Corewell Health East Resident

Document Type

Conference Proceeding

Publication Date

10-19-2026

Abstract

We present neonatal depression after a complicated cesarean delivery in a 25-year-old patient. Dense adhesions, a levorotated uterus, meconium-stained fluid, and multiple unsuccessful vacuum attempts caused an incision-to-delivery time of 18 minutes. The neonate was hypotonic with poor respiratory effort, oxygen saturation of 50%, and Apgar scores of 1, 4, and 6. Resuscitation included positive pressure ventilation, endotracheal intubation, and orogastric tube placement. After stabilization, the infant was extubated to high-flow nasal cannula, briefly required continuous positive airway pressure, and weaned to room air within 24 hours. This case highlights neonatal resuscitation guided by the Neonatal Resuscitation Program.

Comments

American Society of Anesthesiologists, The Anesthesiology Meeting, October 16-20, 2026, San Diego, CA.

Recommended Citation

Sevak B, Zajac J, Panagopoulos, Soto R, Aboufakhr F. Neonatal depression after complicated cesarean delivery: resuscitation guided by the neonatal resuscitation program. Presented at: American Society of Anesthesiologists, The Anesthesiology Meeting; 2026 Oct 19; San Diego, CA. Available from: https://www.abstractsonline.com/pp8/#!/21448/presentation/7709