Dr. Tanya Manocha (Pediatrics) needs a second opinion on this medical case.
A 6-month-old baby, which was delivered vaginally, was referred to pediatric for malformative syndrome. He was the first child, and there was no family history of congenital abnormalities. The 24 year old mothr had no history of medication with an uneventful pregnancy course. Pregnancy was poorly monitored with only two prenatal consultations. No folic acid prophylaxis and no obstetric ultrasound were performed. Plz, suggest the Dx and Rx.