35wks,polyhydrioamnios,(2.5lit),labor pains , cord Aries around and .Lscs done. Apgar2/10. Heart stopped after 1/2 hr. what could be the problem ?

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it's epidermolysis bullosa even if the baby would have survived . prognosis is very poor many of them die due to sepsis.there's a h/o cord around neck.baby must have suffered from perinatal asphxia . as the apgar score is very low . this must have lead to mortality to hypoxic ischemic encephalopathy . h/o polyhydramnios tef,oesophageal atresia,duodenal atresia must n ruled out as well.

Epidermolysis bullosa...

Epidermolysis bullosa

Large denuded areas of skin might have caused hypothermia leading to shock in the neonate. Also, there would have been fluid and electrolyte imbalance.
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Epidermolysis Bullosa

SSSS. Grave prognosis. Treat with care Hydration Feeding and IVAntibiotics.

Epidermolysis bullosa

agree with dr manish

looking to history child might have tracheo oesophageal malformation or gut abnormality or renal malformations which should be rule out antenatally.

What is the cause ? Is it preventable ? What precautions r to be taken in next pregnancy ?

pt 40 years old ,gravida3 ,15weeks of pregnancy ,what should be advised Triple test or NIPT

Initially triple test should be advised as its a screening test for trisomy....if any deviation found go for NIPT for confirmation
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