TY - JOUR T1 - Extreme preterm neonate with fetal warfarin syndrome JF - Archives of Disease in Childhood - Fetal and Neonatal Edition JO - Arch Dis Child Fetal Neonatal Ed DO - 10.1136/archdischild-2021-323295 SP - fetalneonatal-2021-323295 AU - Risa Birbal AU - Olushola Olaniyi AU - Paul Clarke Y1 - 2021/12/23 UR - http://fn.bmj.com/content/early/2021/12/22/archdischild-2021-323295.abstract N2 - A 25+3 week gestation male infant weighing 493 g was delivered via caesarean section for intrauterine growth restriction and abnormal Dopplers. The mother was on long-term thromboprophylactic warfarin 5 mg/day due to her prosthetic mechanical heart valve following childhood rheumatic fever. Once pregnancy was diagnosed, at 4+0 weeks’ gestation, warfarin was discontinued and low-molecular-weight heparin was started. Warfarin was recommenced at 12+1 weeks’ gestation after a small maternal stroke.Neonatal dysmorphic facial features … ER -