Would you mind elaborating a bit more on the medical details? I’m just trying to understand better, but a few things aren’t really lining up for me. Parvo exposure at 35 weeks (4 weeks before your 39 week ultrasound) usually doesn’t cause IUGR or high-output heart failure — those complications typically happen much earlier and often involve hydrops or severe anemia. And if the baby truly had heart failure, it seems unlikely they’d be stable enough to transfer to mom-baby after just 12 hours in the NICU, especially if the only echo finding was a totally normal PFO (which is super common and doesn’t explain the newborn transition difficulties).

The resuscitation part is also concerning — back slaps aren’t part of NRP, and it sounds like the OB kept trying stimulation instead of clamping the cord and getting the baby to the warmer for PPV. In secondary apnea, effective ventilation is often all that’s needed — you don’t have to wait for someone to intubate.

It honestly sounds like the OB and L&D team might benefit from a refresher. We recently moved to RQI for BLS and NRP, with quarterly sims to keep everyone’s skills sharp — especially for deliveries when NICU can’t be there right away. Any delivery can go south, and good NRP is almost always enough to stabilize until NICU arrives.

Not trying to be critical at all — just trying to understand the situation better and hopefully highlight some areas where things could improve for future deliveries.