The fetus with gastroschisis: impact of route of delivery and prenatal ultrasonography

Article Abstract:

The outcome of infants born with abdominal organs that protrude through the abdominal muscle wall may not be improved by cesarean delivery or delivery before labor, or be predicted by prenatal ultrasound of the abdomen. Researchers at one hospital reviewed the sonograms and surgery results of 42 infants born with gastroschisis, or protruding abdominal organs. Vaginal delivery was accomplished for 26 of the infants. Five of the 16 infants delivered by cesarean section were delivered during labor rather than before the onset of labor. Neither method of delivery nor timing seemed to influence the outcome of the infants. Prenatal ultrasound evidence of fetal gastroschisis did not predict the survival outcome, but it was associated with longer and more difficult surgery to repair the defect. Four infants died after surgery.

Health aspects, Management, Prognosis, Surgery, Pregnancy, Complications of, Pregnancy complications, Hernia, Hernia repair, Gastrointestinal emergencies

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Fetal pyelectasis: is it always "physiologic"?

Article Abstract:

Ultrasonic diagnosis of fetuses with an enlarged kidney pelvis caused by obstructed urine flow may indicate fetuses with congenital defects of the urinary tract and the need for intervention soon after birth. Researchers performed ultrasound examinations and identified 68 fetuses with a dilated kidney pelvis. A dilated kidney pelvis with a diameter of eight millimeters or more after 28 weeks of pregnancy was frequently associated with kidney disease. Both kidneys were dilated in 41 fetuses, but the problem resolved on its own in many of these cases. Most of the infants, 87%, received intensive follow-up after birth without the need for surgery, while four infants (13%) needed surgery in the first two years of life.

Abnormalities, Urinary organs, Urinary tract

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Isolated fetal pyelectasis and chromosomal abnormalities

Article Abstract:

The prevalence and possible association of pyelectasis with aneuploidy in an unselected population of patients is investigated. It is also demonstrated whether the finding of fetal pyelectasis in the second trimester justified alteration in patients management, in particular, whether or not patients should be subjected to a karyotype.

United States, Science & research, Research, Diagnosis, Risk factors, Down syndrome, Chromosome abnormalities, Fetal diseases

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