Neonate admitted at hospital with breathing distress. Almost 35 days completed and still under Cpap support. Unable to identify a solid reason for the problem. Born on 20mar17 identified bilateral club foot ctev and POP applied for treatment. Breathing distress started on 28mar17 Admitted at hospital on 29mar17 (still in ICU) Initially suspected as pneumonia and treated with antibiotics. Later identified as bilateral diaphragmatic sluggish movement using fluoroscopy and treated with plication surgery bilaterally on 10apr17 Ventilated for 3 days post surgery. And moved to bubble Cpap support and still under Cpap support prolonged till date. Serum electrolytes, cpk liver enzymes and muscle biopsy results are normal.