Clinical characteristics and perinatal outcomes of fetal omphalocele / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology
; : 903-910, 2009.
Article
Dans Ko
| WPRIM
| ID: wpr-177604
Responsable en Bibliothèque :
WPRO
ABSTRACT
OBJECTIVE:
The purpose of this study is to describe the clinical characteristics and perinatal outcomes of fetuses with omphalocele.METHODS:
The study enrolled all fetuses diagnosed prenatally with omphalocele at a single institution, from August 1996 to April 2008. Data were collected retrospectively by reviewing the maternal and neonatal medical records.RESULTS:
The study population consisted of 54 cases with prenatally diagnosed omphalocele. In all, 15 fetuses were live-born, 29 were terminated, four died in utero, and six were lost to follow-up. Associated anomalies were found in 72.9% (35/48). Abnormal karyotype was found in 33.3% (16/48). In the live births, associated major anomalies were present in 46.7% (7/15) and were associated with increased neonatal morbidity. The rate of severe neonatal morbidity was 53.3% (8/15). In one case, death followed prolonged hospitalization with complications related to associated anomalies. The neonatal mortality rate was 6.7% (1/15) with no postoperative deaths.CONCLUSION:
In this study, the neonatal mortality rates were low in the absence of associated anomalies or genetic defects. The results emphasize the importance of identifying both those fetuses with a potentially positive prognosis and favorable outcome and those which are likely to have a fatal outcome.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Diagnostic prénatal
/
Pronostic
/
Mortalité infantile
/
Dossiers médicaux
/
Études rétrospectives
/
Issue fatale
/
Naissance vivante
/
Perdus de vue
/
Foetus
/
Caryotype anormal
Type d'étude:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limites du sujet:
Humans
/
Infant
langue:
Ko
Texte intégral:
Korean Journal of Obstetrics and Gynecology
Année:
2009
Type:
Article