we have had 2 newborns one recently and another one 9 yrs back. Both of them were delivered vaginally with no antenatal steroids . Both of them didn't need any ventilatory support. Had normal x rays. Aminophylline given prophylactically. Didn't need PPN or TPN. Slowly adapted to EBM. Now doing well.

What helped these babies to have normal surfactant production in view of normal x rays?

I am eager to know your reasoning for this phenomena.

Was there any history of pregnancy related hypertension,were the gestational ages correct or the babies just small for gestational age,what was the maternal history

These Are some questions which need to be answered before coming to any conclusions for the exceptional lung maturity at short gestational age.