Group B Streptococcus infection, not birth asphyxia

This case illustrates 2 main points. Firstly, fetal infection can mimic exa ctly both the immediate and delayed signs of perinatal asphyxia. Secondly, the placenta may hold the key to the diagnosis of sepsis which may be made difficult in the neonate by labour ward practices such as the use of intrap artum and immediate newborn antibiotics. We strongly support the recommenda tion that newborn blood and fetal membrane cultures should always be obtain ed in babies with a diagnosis of 'intrapartum asphyxia and fetal distress' (1), To this we would add the recommendation that placental histology be pe rformed in these circumstances.