Water birth and infection in babies

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Abstract
A full term baby boy, weighing 3600 g, was born in the birthing tub of the labour ward of our hospital. His mother had no fever before the birth, and the membranes were ruptured for less than 12 hours. His condition at birth was good and Apgar scores were normal. At 11 hours of age he had two episodes of cyanosis. He was feeding poorly. On examination he was hypotonic and his peripheries were poorly perfused, with mottling of the skin. Probable septicaemia was diagnosed. Swabs from the ear and umbilicus and samples of urine, blood, and cerebrospinal fluid were taken for culture. He was given intravenous penicillin and gentamicin. Within 48 hours the swabs had grown P aeruginosa and gentamicin had been changed to ceftazidime. Within a further two days he had recovered. After being treated with antibiotics for seven days, he was discharged.

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