During a first trimester ultrasound and checkup, the provider noted chromosomal abnormalities. They were informed that a second trimester follow-up blood work would be necessary to confirm any chromosomal abnormalities. Test revealed the fetus had Trisomy 18. Parents were informed that 90% of infants do not survive their first year of life. The newborn was delivered at 39 weeks. Trisomy 18 was again confirmed once the newborn was born. As expected with a child diagnosed with Trisomy 18, the newborn had diagnosed cardiac anomalies in addition to skeletal deformities and an omphalocele. The parents are requesting cardiac surgery to improve the newborn quality of life. However, the medical team decided against the cardiac surgery as the newborn has other medical condition impacting quality of life for the newborn.