This case involves a fetus who was delivered at twenty-four weeks with hypoplastic lung disease. The mother experienced a premature rupture of membranes in the nineteenth week of pregnancy and was transported to the hospital. In spite of bed rest, antibiotics, and steroids, labor began abruptly and an emergent C-section was performed for a breech presentation. A code pink team attended the birth and, upon delivery, the baby had 7/10 on initial apgar scores, but subsequently desaturated. The baby required intubation that was performed with some difficulty, with the tube being incorrectly positioned at the carina. It was immediately repositioned but bilateral pneumothoraces developed and needle aspirations had to be performed. The baby was deemed to be medically unstable and further intervention efforts were futile. A discussion was conducted with his parents who opted to remove life support shortly after his birth.