Sirenomelia: A Rare Malformation

A twenty two year old primigravida, at thirty four weeks gestation delivered a 1.7 kg baby by emergency lower segment cesarean section. Cesarean section was done in view of severe intrauterine growth retardation and severe oligohydramnios. There was no history of diabetes mellitus or gestational diabetes in the mother, no history of any chronic medical illness, any drug intake or consanguinity in mother and no history of any genetic disorder in family. Only one prenatal ultrasound was done in first trimester which was reported to be normal. Baby did not cry at birth and required resuscitation. APGAR score was 5, 7 and 7 at 1, 5 and 10 minutes respectively. Baby had two umbilical arteries.