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{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/P22_F1.jpg"}},{"insert":"\n\nYou first met Ibrah, a 33-year-old G4P3A0 stay-at-home mom of an Iraqi migrant family around seven months ago. She was referred to your clinic after antenatal screening showed her to be anemic. You diagnosed her to have iron deficiency anemia, and started treatment.\n\nDuring her subsequent follow up, you found biochemical and ultrasound evidence that her fetus might have an aneuploidy: most likely trisomy 21 (Down syndrome). Ibrah refused invasive diagnostic testing and wished to carry the pregnancy to term.\n\nWhile Ibrah\u0027s previous three children were delivered at home, you strongly recommended that she deliver her new baby at your hospital. She conditionally agreed, promising to come over as soon as her waters broke, or contractions started.\n\nIbrah turned up at your hospital \u2013 but only after she\u0027d had contractions for 6 hours. A timely history and examination revealed that she was in obstructed labor, and you were forced to perform a cesarean section. \n\nYou managed to successfully deliver a baby girl, whose Apgar score was 7\/8 at 1 minute, and 8\/8 from 5 minutes onwards. Her weight was 2300 g, length was 48 cm, and occipitofrontal circumference (OFC) was 39 cm. \n\nIbrah decided to name her daughter \u0022Diana\u0022. Her story continues now...\n"}]}