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A 2340 g female infant was born at 36 weeks gestation to a healthy mother by caesarean section at Hacettepe University in Ankara. In prenatal ultrasound examination polyhydramnios was present and gastric bubble could not be identified. The Apgar scores were 6 and 7 at 1 and 5 minutes respectively. Positive pressure ventilation was performed in the delivery room. The chest radiograph showed presence of gastric gas and the orogastric tube placed at the level of gastric bubble. The infant was placed on a naso-pharyngeal CPAP (NPCPAP) for respiratory distress. On the second day of life endotracheal intubation was required for respiratory acidosis and hypoxia. The infant followed in conventional mechanical ventilation with low positive inspiratory and end-expiratory pressure.
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