A woman tuns referred in the first trimester of her third pregnancy because
of a family history of cleidocranial dysplasia. An ultrasound examination
at 14 weeks 4 days revealed a fetus with appropriate biometric measurements
. However. the clavicles were noted to be hypoplastic and the cranium appea
red less well ossified than expected for gestational age, suggesting the di
agnosis of cleidocranial dysplasia. On subsequent examination at 21 weeks,
the findings were essentially unchanged.
Induced vaginal delivery owing to decreased amniotic fluid volume occurred
at 37 weeks, and a female weighing 3200 g was delivered The infant had clin
ical and X-ray signs of cleidocranial dysplasia.