A 3,960-g female infant is born at 37 weeks of gestation to a 25-year-old gravida 2, para 1-0-0-1 woman via vaginal delivery. The pregnancy had been complicated by a history of depression not requiring pharmacologic treatment, a urinary tract infection treated successfully, fetal abdominal distention and ascites, and polyhydramnios requiring 3 procedures for amniotic fluid reduction. Noninvasive prenatal testing and -fetoprotein levels were normal.

Apgar scores are 6 and 8 at 1 and 5 minutes, respectively. The infant has decreased respiratory effort but improves with continuous positive airway pressure and is weaned to room air while in the delivery room with no further respiratory concerns. Because of the significant abdominal distention, the patient is transferred to the NICU where the physical examination findings are significant for abdominal distention, an abdominal circumference of 38 cm, palpable bowel loops, and absent bowel sounds. Other significant findings include bilateral webbing of the second and third toes and bilateral fusion of

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Case 2: Term Female Newborn with Prenatal Diagnosis of Abdominal Distention and Ascites - AAP News

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