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Perinatal outcomes of the antenatally diagnosed omphalocele cases: a single tertiary center experience.
Akcabay, Cigdem; Islek, Fatma; Arslan, Erol; Kayapinar, Masum; Demir, Cansun; Evruke, Cuneyt; Buyukkurt, Selim; Sucu, Mete; Kucukgoz Gulec, Umran.
Afiliação
  • Akcabay C; Department of Obstetrics and Gynecology, Çukurova University, School of Medicine, Adana, Turkey.
  • Islek F; Department of Obstetrics and Gynecology, Çukurova University, School of Medicine, Adana, Turkey.
  • Kayapinar M; Department of Obstetrics and Gynecology, Çukurova University, School of Medicine, Adana, Turkey.
  • Demir C; Department of Obstetrics and Gynecology, Çukurova University, School of Medicine, Adana, Turkey.
  • Evruke C; Department of Obstetrics and Gynecology, Çukurova University, School of Medicine, Adana, Turkey.
  • Buyukkurt S; Department of Obstetrics and Gynecology, Çukurova University, School of Medicine, Adana, Turkey.
  • Sucu M; Department of Obstetrics and Gynecology, Çukurova University, School of Medicine, Adana, Turkey.
  • Kucukgoz Gulec U; Department of Obstetrics and Gynecology, Çukurova University, School of Medicine, Adana, Turkey. ukucukgoz@yahoo.com.
Ginekol Pol ; 2021 Apr 29.
Article em En | MEDLINE | ID: mdl-33914334
ABSTRACT

OBJECTIVES:

To evaluate the perinatal outcomes of antenatally diagnosed omphalocele cases. MATERIAL AND

METHODS:

This was a retrospective study conducted between July 2014 and February 2020 at the prenatal diagnosis center of a university clinic. Gestational week of diagnosis, associated anomalies, karyotype analysis results, complications during pregnancy, termination/delivery characteristics, and postnatal results were evaluated.

RESULTS:

The analysis was performed on 58 patients. The median diagnosis time was 14.5 weeks of gestation. Thirty-three cases (57%) were defined in the first trimester. 33 (57%) of 58 patients had one or more concomitant anomalies, while 25 patients (43%) had isolated omphalocele. The most common associated anomaly was a cardiac anomaly which was observed in 17 fetuses (30% of all omphalocele cases). Karyotype analysis was performed in forty-five patients (41 in the prenatal period, 4 in the postnatal period). A normal karyotype was detected in 27 cases (60%). Trisomy 18 was the most common chromosomal anomaly (n = 15, 33.3%). Thirty of 58 patients (52%) requested termination of pregnancy (TOP) in the early pregnancy period. Thirteen of the cases died in-utero (22%). Fifteen pregnancies resulted in live births (26%), of those eight were lost in the first year of life (six of them had additional anomalies, while two of them had isolated omphalocele but the omphalocele pouch was containing the liver in those two babies).

CONCLUSIONS:

Most of the cases with an omphalocele can be diagnosed in the first trimester. Cardiac anomalies were the most common associated anomalies, while trisomy 18 is the most common chromosomal anomaly. Thus, earlier and effective counseling can be made about the prognosis of pregnancy.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Ginekol Pol Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Turquia

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Ginekol Pol Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Turquia