[ case report of fetal warfarin syndrome]

Warfarin is an anticoagulant drug, reducing the synthesis of vitamin K dependent coagulant factors. It has fewer complications than heparin during pregnancy, but it passes easily through the placenta. Therefore it may induce unfavorable condition so called as fetal warfarinsyndrome. The common presentations of this syndrome are nasal hypoplasia, epiphysial calcification, and skeletal disorders. Fetuses exposed to warfarin in the first trimester of pregnancy have an increased risk of embryopathy [nasal hypoplasia and stippled epiphyses]. A male neonate with new symptoms of fetal embryopathy [femoral agenesis bilateral dislocation of hip, agenesis of corpus callozom] is presented. He was born postdate from a mother using warfarin 2.5 mg/kg during the whole pregnancy. He also had short lower limb, finger deformity, nasal hypoplasia, radioulnar dislocation, hydrocephaly, and brachiocephaly

[Neonatal dislocation of elbow due to birth trauma]

Birth injuries are due to difficult labors. Dislocation of elbow as a consequence of birth trauma has not been reported yet. A two days newborn was referred to Imam Reza hospital because of restlessness and limitation of movement in upper arm. Double dislocation of left elbow was observed in radiographic evaluation. In any newborn with difficult labor and limitation of movement in upper arm in addition to more common conditions dislocation of elbow should be considered