scholarly journals Non‐immune fetal hydrops: etiology and outcome according to gestational age at diagnosis

2020 ◽  
Vol 56 (3) ◽  
pp. 416-421 ◽  
Author(s):  
F. G. Sileo ◽  
A. Kulkarni ◽  
I. Branescu ◽  
T. Homfray ◽  
E. Dempsey ◽  
...  
Keyword(s):  
Gestational Age ◽  
Age At Diagnosis ◽  
Fetal Hydrops

Characteristics and management of mirror syndrome: a systematic review (1956–2016)

2017 ◽  
Vol 45 (9) ◽  
Author(s):  
Sabah Allarakia ◽  
Hassan A. Khayat ◽  
Moyassar M. Karami ◽  
Abdulaziz M. Aldakhil ◽  
Ahmed M. Kashi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Features ◽  
Gestational Age ◽  
Fetal Outcome ◽  
Data Sources ◽  
Age At Diagnosis ◽  
Online Search ◽  
Fetal Hydrops ◽  
Fetal Survival ◽  
The Mean

AbstractObjectives:To describe the clinical features of mirror syndrome and to correlate the effects of different treatments with the fetal outcomes.Data sources:Online search up to May 2016 was conducted in the PubMed, Embase (Ovid platform) and clinicalTrials.gov without restrictions of language, date or journal. Only papers providing both fetal and maternal presentations and outcomes were included.Results:The study included 74 papers (n=111), with an additional two patients diagnosed at our center (n=113). The mean gestational age at diagnosis was 27 weeks±30 days (16–39 weeks). Whether early or late gestational age at diagnosis, and whether mother and fetus show symptoms simultaneously or on different dates, has insignificant impact on fetal outcome (P=0.06 and P=0.46, respectively). Edema (84%) followed by hypertension (60.1%) were the leading maternal findings. Fetal hydrops (94.7%) and placental edema (62.8%) were the commonest sonographic features. Procedures correcting fetal hydrops/anemiaConclusion:The gestational age at diagnosis and sequence of presentation have insignificant impact on fetal outcome. Improved fetal survival was associated with procedural interventions that correct fetal hydrops as well as labor induction.

Fetal abdominal cysts: antenatal course and postnatal outcomes

2019 ◽  
Vol 47 (4) ◽  
pp. 418-421
Author(s):  
Elisabetta Sanna ◽  
Stavros Loukogeorgakis ◽  
Thomas Prior ◽  
Iris Derwig ◽  
Gowrishankar Paramasivam ◽  
...  
Keyword(s):  
Gestational Age ◽  
Surgical Intervention ◽  
Antenatal Diagnosis ◽  
Age At Diagnosis ◽  
Single Centre ◽  
Intestinal Origin ◽  
Abdominal Cyst

Abstract Background There is little information on which to base the prognostic counselling as to whether an antenatally diagnosed fetal abdominal cyst will grow or shrink, or need surgery. This study aims to provide contemporary data on prenatally diagnosed fetal abdominal cysts in relation to their course and postnatal outcomes. Methods Fetal abdominal cysts diagnosed over 11 years in a single centre were identified. The gestational age at diagnosis and cyst characteristics at each examination were recorded (size, location, echogenity, septation and vascularity) and follow-up data from postnatal visits were collected. Results Eighty abdominal cysts were identified antenatally at 28+4 weeks (range 11+0–38+3). Most (87%) were isolated and the majority were pelvic (52%), simple (87.5%) and avascular (100%). Antenatally, 29% resolved spontaneously; 29% reduced in size; 9% were stable and 33% increased in size. Forty-one percent of cysts under 20 mm diameter increased in size, while only 20% of cysts with a diameter of over 40 mm increased in size. The majority of cysts were ovarian in origin (n=45, 56%), followed by intestinal (n=15, 18%), choledochal (n=3, 4%), liver (n=2, 3%) and renal/adrenal origins (n=2, 3%), respectively. In 16% (n=13), the antenatal diagnosis was not obvious. Seventy-five percent of the cysts that persisted postnatally required surgical intervention. Conclusion Most antenatally diagnosed fetal abdominal cysts were ovarian in origin. Though most disappeared antenatally, nearly three quarters required surgical intervention when present after birth. Cysts of intestinal origin are more difficult to diagnose antenatally and often require surgery.

835: Isolated Spina Bifida: gestational age at diagnosis and diagnostic accuracy

2011 ◽  
Vol 204 (1) ◽  
pp. S325
Author(s):  
Valentina Giardini ◽  
Maria Verderio ◽  
Francesca Maria Russo ◽  
Sabrina Cozzolino ◽  
Anna Locatelli ◽  
...  
Keyword(s):  
Spina Bifida ◽  
Diagnostic Accuracy ◽  
Gestational Age ◽  
Age At Diagnosis

Analysis of outcome in hydrops fetalis in relation to gestational age at diagnosis, cause and treatment

2001 ◽  
Vol 80 (8) ◽  
pp. 726-730 ◽  
Author(s):  
Karen Sohan ◽  
Stephen G. Carroll ◽  
Sergio De La Fuente ◽  
Peter Soothill ◽  
Phillipa Kyle
Keyword(s):  
Gestational Age ◽  
Hydrops Fetalis ◽  
Age At Diagnosis

The Influence of Gestational Age at Diagnosis of Down Syndrome on Patientʼs Choice for Pregnancy Termination [20O]

2016 ◽  
Vol 127 ◽  
pp. 128S
Author(s):  
Steven Warsof ◽  
Sebastian Larion ◽  
Wendy DiNonno ◽  
David Peleg ◽  
Alfred Abuhamad
Keyword(s):  
Down Syndrome ◽  
Gestational Age ◽  
Pregnancy Termination ◽  
Age At Diagnosis

scholarly journals A Retrospective Review of 25 cases of Lethal Fetal Anomalies

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Dalia FA ◽  
Hamizah I ◽  
Zalina N ◽  
Yong SL ◽  
Mokhtar A
Keyword(s):  
Gestational Age ◽  
Retrospective Review ◽  
Post Partum ◽  
Case Series ◽  
Tertiary Hospital ◽  
Prenatal Ultrasound ◽  
Age At Diagnosis ◽  
Maternal Complications ◽  
Breech Delivery ◽  
Failed Induction

Introduction: To review the gestational age at diagnosis, method of diagnosis, pregnancy outcome and maternal complications of prenatally diagnosed lethal foetal anomalies. Methods: Retrospective review of 25 women who had aborted or delivered foetuses with lethal anomalies in a tertiary hospital in 2011 based on patient medical records. Results: There were a total of 10,088 deliveries, in which 25 (0.24%) women were found to have conceived foetuses with lethal anomalies. All of them were diagnosed by prenatal ultrasound and only 7 (28.0%) had both prenatal ultrasound and genetic study done. The women’s mean age was 29.9 years old. The mean gestational age at diagnosis of lethal foetal anomalies was 25.5 weeks (SD=12.5) and mean gestational age at termination of pregnancy (TOP) or delivery was 28.5 weeks (SD=12.5). Seven (28%) women had early counseling and TOP at the gestation of < 22 weeks. Beyond 22 weeks of gestation, eight (32%) women had TOP and ten (40%) women had spontaneous delivery. Twenty (80%) women delivered or aborted vaginally, three (12%) women with assisted breech delivery and two (8%) women with abdominal delivery which were performed due to transverse foetal lie in labour and a failed induction, leading to emergency hysterotomy complicated by hysterectomy due to intraoperative finding of ruptured uterus. Overall, the associated post-partum adverse events included post-partum haemorrhage (12%), retained placenta (12%), blood transfusion (8%), uterine rupture (4%) and endometritis (4%). Mean duration of hospital stay was 6.6 days (SD 3.7 days). Conclusion: Late diagnosis of lethal foetal anomalies leads to various maternal morbidities, in this case series , which could have been prevented if they were diagnosed and terminated at early trimester. A new direction is needed in our local practice.

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