{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:02:03Z","timestamp":1755223323946,"version":"3.43.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,10,11]]},"abstract":"<jats:p>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\u2005years with severe abdominal pain. She was in active labour at 40\u2005weeks 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.<\/jats:p>","DOI":"10.1136\/bcr-2016-216868","type":"journal-article","created":{"date-parts":[[2016,10,25]],"date-time":"2016-10-25T12:28:04Z","timestamp":1477398484000},"page":"bcr2016216868","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Infant born with Robert's syndrome without prenatal care in a developing nation"],"prefix":"10.1136","volume":"2016","author":[{"given":"Denise","family":"Benardete","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Asociacion Medica del Centro Medico ABC AC, Mexico DF, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0579-5549","authenticated-orcid":false,"given":"Neeraja","family":"Chandrasekaran","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Florida, Weston, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Cariello","sequence":"additional","affiliation":[{"name":"Santa Casa de Ribeirao Preto, Ribeirao Preto, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Meraz","sequence":"additional","affiliation":[{"name":"Department of Urogynecology, Medica Sur Lomas, Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,10,25]]},"reference":[{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.1","unstructured":"World Health Organization. Global Health Observatory: Antenatal Care. 2012 http:\/\/www.who.int\/gho\/maternal_health\/reproductive_health\/antenatal_care_text\/en\/"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.2","unstructured":"WHO\/Unicef. Antenatal care in developing countries: promises, achievements and missed opportunities: analysis of trends, levels and differentials, 1990\u20132001. 2003;3. http:\/\/www.who.int\\nwww.childinfo.org\/files\/antenatal_care.\\nwww.unicef.org\/media\/files\/antenatal.pdf"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.3","first-page":"561","article-title":"Maternal mortality at the end of a decade: signs of progress?","volume":"79","author":"AbouZahr","year":"2001","journal-title":"Bull World Health Organ"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.4","unstructured":"Sarpoma S . The importance of prenatal care and it's impact worldwide. http:\/\/www.marchofdimes.org\/pdf\/california\/ca-2015-importance-of-prenatal-care.pdf"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.5","unstructured":"Assembly WH , States M . Media centre Congenital anomalies. 2015:1\u20135. http:\/\/www.who.int\/mediacentre\/factsheets\/fs370\/en\/"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.6","first-page":"77","article-title":"An introduction to maternal mortality","volume":"1","author":"Nour","year":"2008","journal-title":"Rev Obstet Gynecol"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.7","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.061198"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60685-6"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.9","doi-asserted-by":"crossref","unstructured":"Dai LL , Mao YY , Luo XM , et al . Prenatal care in combination with maternal educational level has a synergetic effect on the risk of neonatal low birth weight: new findings in a retrospective cohort study in Kunshan City, China. PLoS ONE 2014;9. doi:10.1371\/journal.pone.0113377","DOI":"10.1371\/journal.pone.0113377"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.10","first-page":"642","article-title":"Education, poor antenatal care coverage and teenage pregnancy at Kassala Hospital, Eastern Sudan","volume":"3","author":"Ali","year":"2011","journal-title":"J Public Health Epidemiol"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.11","first-page":"354","article-title":"Designing prenatal care messages for low-income Mexican women","volume":"108","author":"Alcalay","year":"1993","journal-title":"Public Health Rep"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.12","doi-asserted-by":"publisher","DOI":"10.1186\/1742-4755-6-9"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.13","unstructured":"Institute of Medicine (US) Committee to Study Outreach for Prenatal Care; Brown SS, editor. Prenatal Care: Reaching Mothers, Reaching Infants. Washington (DC): National Academies Press (US); 1988. Chapter 2, Barriers to the Use of Prenatal Care. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK217704\/ ."},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.14","first-page":"67","article-title":"The influence of antenatal care on pregnancy outcome","volume":"1","author":"Ekwempu","year":"1988","journal-title":"Trop J Obstet Gynaecol"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.01.024"},{"key":"2025081107550939000_2016.oct25_1.bcr2016216868.16","unstructured":"Development M , Improving G , Goals MD , et al . Media centre Maternal mortality. 2013:1\u20134."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-216868","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T14:55:22Z","timestamp":1754924122000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-216868"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10,25]]},"references-count":16,"alternative-id":["10.1136\/bcr-2016-216868"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-216868","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,10,25]]}}}