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- Lisa Hunt, MD*
- Ganga Srinivas, MBBS, FAAP*
- *Department of Pediatrics, Medical University of South Carolina, Charleston, SC.
AUTHOR DISCLOSURE
Dr Hunt has disclosed no financial relationships relevant to this article. Dr Srinivas has disclosed he is a consultant for Novartis, Alexion Pharmaceuticals, Inc, Boeringer Ingelheim, and ACI Clinical. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.
Presentation
Examination of a dizygotic-dichorionic twin girl in the newborn nursery reveals a perineal sulcus. She was born at 38 weeks and 2 days gestation via cesarean section without instrumentation to a 30-year-old mother whose pregnancy was uncomplicated except for a positive Group B Streptococcus culture at 36 weeks’ gestation. The mother received incomplete intrapartum antibiotic prophylaxis during labor. Delivery was complicated by failure to progress during the first stage of labor, necessitating cesarean section. Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. The mother took prenatal vitamins and promethazine during pregnancy. She denied tobacco, alcohol, and illegal drug use during pregnancy. The delivery room course was benign, and no …
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