This photo is of a baby after a shoulder dystocia.
Notice the suffusion (the purple face compared to the normal-colored body), the bruising on the forehead, swollen eyes and the fat lips. The baby is also macrosomic (large-for-gestational age), usually because of insulin issues of some sort. You can almost feel how squishy the baby is from here. Macrosomic babies feel like dough in your hand, the fat squishes between your fingers when you are working on a shoulder dystocia or resuscitation. You can see this baby's moulded head, too.