History and Examination:-
This was a case of a newborn male born to 28 years primigravida at 37+3 WOG,with birth weight 3300 gm, via emergency lower segment caesarean section(Em LSCS) for per vaginal leaking for more than 24 hours. The child cried immediately after birth with an APGAR score of 8/10 and 9/10 at 1 and 5 mins of life. However, the newborn started developing multiple episodes of vomiting within 2 hours of life. No history of fever, irritability, excessive crying. There was no history of any thrombotic disorder running in the family and no history of umbilical vein catheterization. On examination the neonate was active and alert, his cry, color tone and reflexes were normal. Anterior fontanelle was open and at level. Abdomen was soft nondistended and there was no organomegaly, with normal rest of the physical examination.