A male neonate was born small for gestational age with a birthweight of 2.36 kg to a 32-year-old gravida 2 woman in a third-degree consanguineous marriage. The mother’s history included a spontaneous abortion at 10 weeks of gestation in the previous pregnancy. The current pregnancy was a product of spontaneous conception. The antenatal period in this pregnancy was uneventful, with regular follow-ups. The mother also took iron and folic acid supplementation along with tetanus toxoid immunization. She has no history of fever, rash, or any teratogenic exposure during pregnancy. Screening for gestational diabetes, hypertension, and thyroid disorders in this pregnancy found no abnormalities. Targeted imaging for fetal anomalies at 20 weeks of gestation had normal findings. Subsequent growth scans showed polyhydramnios but the growth pattern was appropriate for gestational age. The neonate was delivered at 37 weeks and 6 days of pregnancy via emergency caesarean section in view of decreased...

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