Inclusion Criteria:  Signs of respiratory distress at time-point of inclusion (tachypnoea >60/minutes, grunting, intercostal/subcostal/jugular retractions, nasal flaring, supplemental oxygen or respiratory upport) Decision to conduct full life support Written informed consent Age < 6 hours  Exclusion Criteria:  No decision to conduct full life support no written informed consent gestational age <30+0 weeks of gestation age > 6 hours severe congenital malformations, severe asphyxia (umbilical cord artery pH <7.00)