Background: A primigravida in the mid-20s presented with an anomaly scan showing limb deformity in all four limbs with fused fingers and ventricular septal defect. The patient did not have any other co-morbidities or any drug exposure during her pregnancy. Ectrodactyly refers to a congenital limb malformation characterized by the absence of one or more central digits, resulting in a cleft or "lobster claw" appearance. Objective: Whether isolated or part of a genetic syndrome, the management of this condition often involves a multidisciplinary team to manage and provide appropriate care including genetic counseling, orthopedic specialists, and other relevant healthcare professionals. Patient and methods: A primigravida in the mid-20s presented with an anomaly scan showing limb deformity in all four limbs with fused fingers and ventricular septal defect. Results: The delivery of a baby with SHFM is generally managed like that of any other newborn. However, postnatal care and follow-up involve a collaborative effort between a multidisciplinary team to ensure comprehensive care for the baby and support for the family. Conclusion: Surgical interventions may be considered to address limb anomalies and enhance functionality. Early intervention and support can help improve the individual's quality of life and functionality.