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A baby girl was born overnight at 27 weeks’ gestation following spontaneous labour, weighing 940 g. She was the second child of healthy non-consanguineous parents. The fetal medicine team were involved. The 20-week ultrasound findings were:
Possible oesophageal atresia.
Suspected bilateral cleft lip.
Possible ventricular septal defect (VSD).
At birth, the baby had no respiratory effort, but responded well to bag mask inflation breaths. Clinical examination revealed (see figure 1):
Fixed bilateral talipes.
Clenched hands, clinodactyly.
Microstomia with fixed jaw.
Her oxygen requirement increased to 100%, despite high-flow nasal …
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