Babies who survive having to receive oxygen at birth, particularly those who need large amounts because of severe respiratory distress syndrome, can develop long-term complications as a result of: – oxygen toxicity, - high pressures delivered to the lungs, - the severity of the condition itself, - or periods when the brain or other organs did not receive enough oxygen. Most of these complications are life-threatening or the baby is scarred for life and may need surgery, often more than once. They include: Pneumothorax: Air caught in or around the lungs, resulting in sharp chest pains or tightness, coughing, rapid heart rate, lack of oxygen causing fatigue and bluish skin color.

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