Failure to Thrive and Multiple Anomalies in a Newborn: Edwards Syndrome (CPC 95-1)

Abstract

A 3 hour-old male baby was admitted to the Neonatal Intensive Care Unit of Sowha Children's Hospital due to low birth weight He was delivered to a 32 year-old mother by normal vaginal delivery at a local obstetric clinic at 39 weeks' gestational age with: birth 'I/eight of 1,850gm. There was no history of premature rupture of membrane or maternal fever before delivery On admission, his vital signs were as follows: BP 60/40 mmHg, respiration rate 40/min, heart rate 120/min, body temperature 36°C He was pale In appearance and weak In movement The fontanelles were normotensive The face was symmetrical But micrognathia and low set ears were noted. HIs respiration was weak with a grade IIIVI murmur audible at the left sternal border There were 2 arteries and a vein In the umbilical cord. The baby had abnormally clenched fists and rockerbottom feet, Moro reflex was weak.