Now . Future

Post called...and this was the last in Obs posting.
Something weird happened at 4.30a.m.(try to tell the incidence in layman terms)
A 24 weeks pregnant lady gave birth to a preterm baby when the cervical was not in favourable state (not fully dilated). She suddenly bear down and it was so unpredicted!
A baby born with no spontaneous breath, no active movements, no cry and with eye closure. Bruish colour noted over the right shoulder due to injury during delivery. Not forget to mention it was a breech presentation. (Buttocks comes out 1st before the head)
The weird thing was there was a visible heart beat but it couldn't be auscultated by stethoscope.
According to a Paediatrician, it was a muscle contraction instead of heart beat.
But why the contraction is confined to left chest wall but not a generalised one? 1st question.
The underlying causes of contraction? neurological deficit? electrolyte imbalance? 2nd ques.
Ultrasound before delivery revealed that active fetal heart beat was present..so....? 3rd ques

From clinically examination, the fetus was annouced to death due to extreme prematurity.
The fetus for sure cannot survive although resuscitation is taken place.
But how to explain those weird phenomenons???
Hmm...i dunno, Paediatricians dunno and so far nobody knows as I know.

Straight IV bolus of oldtown white coffee after post called to attend Dr. Siley class..
On-call in Obs was an agony and thanks God this was the last in my medical student's life.
NOT for future doctor's..
Sigh~~~