A 31-week-old preterm male was born by cesarian section to a 30-year-old mother. His birth weight was 1080 gm and the circumference of the head was 27 cm.
Clinical features Apgar scores: 6 (1 min), 5 (5 min), and 5 (10 min) His left hand was placed in an elevated position as it was swollen because of a constriction band Non-invasive positive pressure ventilation (NIPPV) was applied for two days due to respiratory distress syndrome (RDS) Diagnosis of renal failure with anuria and ischemic encephalopathy during the next few days Clinical condition of the neonate: Critical P renatal history Twin-to-twin transfusion syndrome Separation of fetuses was attempted at 17th week of gestation; however, two days later, one of them was diagnosed dead Three days prior to delivery, a constriction band around the left forearm was diagnosed in the fetus Medical examination The neonate was transferred to…
