Newborn with apnea at birth after emergency cesarean section, received two cycles of positive pressure ventilation (PPV) with bag and mask ventilation and application of continuous positive airway pressure (CPAP) in the delivery room. Admitted to the neonatal ICU and submitted to orotracheal intubation. Chest and abdomen x-ray were requested (picture 1). Primipara subjected to induction of labor at 40 weeks due to gestational diabetes controlled with diet. It evolved with amniorrexe of meconial liquid and report of fetal tachycardia after 7 hours of amniorrhexis.