BMJ Case Reports 2016; doi:10.1136/bcr-2016-216868

Infant born with Robert's syndrome without prenatal care in a developing nation

  1. Diego Meraz4
  1. 1Department of Obstetrics and Gynecology, Asociacion Medica del Centro Medico ABC AC, Mexico DF, Mexico
  2. 2Cleveland Clinic Florida, Weston, Florida, USA
  3. 3Santa Casa de Ribeirao Preto, Ribeirao Preto, Brazil
  4. 4Department of Urogynecology, Medica Sur Lomas, Mexico City, Mexico
  1. Correspondence to Dr Neeraja Chandrasekaran, mdneeruthimma{at}
  • Accepted 11 October 2016
  • Published 25 October 2016


Maternal and child well-being during pregnancy can be attributed to receiving optimal prenatal care. However, in developing nations, there are many barriers to receiving this. We present a primigravid female aged 29 years with severe abdominal pain. She was in active labour at 40 weeks and completely unaware of her pregnancy; hence, she did not receive any prenatal care. The baby was born with significant birth deformities that were consistent with Robert's syndrome. Although early detection could not preclude the development of this disorder, proper care would have facilitated in receiving genetic counselling and proper understanding of the prognosis. In this case, we discuss the various barriers to receiving prenatal care and measures taken for improvement in developing nations.


  • Contributors DB is responsible for manuscript revising and editing. NC is responsible for manuscript writing, editing and revising. LC is responsible for manuscript revising and editing. DM is responsible for manuscript revising and editing.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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