Introduction
A 35 3/7-week 2.7 kg infant was born by vaginal delivery after premature rupture of membranes and preterm labor. Pregnancy was complicated only by short cervix with one course of betamethasone at 28 weeks. Group B streptococcus status was unknown; there were no other sepsis risk factors, and the overall early onset sepsis score was 0.2 of 1000 live births. The infant emerged with low tone and weak cry that improved rapidly with routine measures. After 10 minutes of skin-to-skin (STS), the infant was transferred to the special care nursery (SCN) for 24 hours of continuous cardiorespiratory monitoring, as per current hospital guideline for infants born at 35 0/7 to 35 6/7 weeks’ gestation.