At birth, or within the first hours after birth, the baby will have: Fast breathing and a fast heart rate Grunting or moaning when breathing Retractions - the skin between and under the ribs pulls in during fast and hard breathing Blue color of the lips and around the mouth, called cyanosis Low amount of oxygen carried in the blood (oxygen saturation) even after getting oxygen Lower oxygen saturation in the baby's legs than in the right wrist Low blood pressure