[Intrauterine therapy for nonimmune hydrops fetalis (NIHF)--analysis of 38 cases]. / Terapia wewnatrzmaciczna w nieimmunologicznym obrzeku plodu (NIHF)--analiza 38 przypadków.
Ginekol Pol
; 85(2): 92-100, 2014 Feb.
Article
em Pl
| MEDLINE
| ID: mdl-24745153
ABSTRACT
OBJECTIVE:
The aim of the study was to perform an audit the results of fetal therapy in cases of nonimmune hydrops fetalis (NIHF), isolated hydrothorax and isolated ascites.METHODS:
A total of 38 fetuses (17-35 weeks of pregnancy) were included in the study whereas 6 patients were excluded due to abnormal karyotype. NIHF was diagnosed in 24 cases, hydrothorax in 4 cases, and ascites in 4 cases. Shunts were implanted in 26 (81%) cases and 7 (19%) participants underwent therapeutic cordocentesis.RESULTS:
After therapy anterior-posterior diameter of the right and the left lung increased to 9.6 mm (27%) and 12.4 mm (35%), respectively. Early complications were observed in 5 (16%) cases. PROM 2 (40%), fetal death 1 (20%), infection 1 (20%), and preterm delivery 1 (20%). Out of the 27 patients, 65% had a caesarian section without early complications and 35% had a vaginal delivery with 58% at term and 42% pre-term.CONCLUSIONS:
Preceding results show that intrauterine therapy significantly improves prognosis of fetuses with NIHF.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hidropisia Fetal
/
Drenagem
/
Cordocentese
/
Gravidez de Alto Risco
/
Hidrotórax
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Female
/
Humans
/
Pregnancy
Idioma:
Pl
Revista:
Ginekol Pol
Ano de publicação:
2014
Tipo de documento:
Article