A newborn baby girl was born to a 27-year-old female at 38 weeks and 6 days via uncomplicated normal spontaneous vaginal delivery. Pregnancy was complicated by late entry to prenatal care with a single prenatal ultrasound without abnormalities, however views were suboptimal and limited by gestational age and the patient did not return for repeat imaging. Upon examination of the newborn, we noted truncation of the second through fourth digits of the left hand with connecting bands (Figure 1) and right lower extremity talipes equinovarus (Figure 2). Examination of the placenta revealed a short umbilical cord with amniotic strands on the fetal side of the placenta ( Figure 3).