Congenital diaphragmatic hernia: can prenatal ultrasonography predict outcome?

Article Abstract:

Prenatal ultrasound examinations may not be sufficiently accurate to predict the outcome of fetuses with congenital diaphragmatic hernia. Researchers retrospectively evaluated ultrasound examinations from 76 fetuses diagnosed prenatally with left-sided congenital diaphragmatic hernia, a condition with a high mortality rate. These fetuses had no other major malformation. Fifty-one of the 76 infants (67%) died shortly after birth. The risk of death was significantly associated with excessive amniotic fluid, displaced chest structures, and the presence of the stomach in the chest area. Prenatal ultrasound may predict poor outcome when gross abnormalities are detected but can not accurately predict outcome for most fetuses with congenital diaphragmatic hernia, as the extent of their defect may not be seen well on ultrasound.

Evaluation, Fetus, Prognosis, Hernia, Prenatal diagnosis, Diaphragm, Diaphragmatic hernia

---

Congenital adenomatoid malformation of the lung: when is active fetal therapy indicated?

Article Abstract:

It appears that conservative noninvasive treatment may be appropriate in some fetuses with evidence of lung masses called cystic adenomatoid malformations. This strategy may be most appropriate if the fetus or the amniotic sac has not accumulated excessive fluid. Researchers evaluated the birth profiles of 33 fetuses with cystic adenomatoid malformations identified during pregnancy and treated according to the presence of accumulated fluid. All 17 of the fetuses without excess fluid accumulation treated noninvasively survived. Five of the nine infants with excess fluid accumulation treated invasively survived.

Lung diseases

---

Thoracoamniotic shunting for fetal pleural effusions with hydrops

Article Abstract:

The perinatal outcome after thoracoamniotic shunting for fetal pleural effusions with hydrops is evaluated. It is concluded that after shunting, pleural effusion with hydrops has a 57 percent survival rate, premature delivery is the leading source of morbidity.

United States, Patient outcomes, Edema, Dropsy

Similar abstracts:

• Abstracts: Intrauterine ultrasonographic assessments of embryonic development. Intratumoral peak systolic velocity as a new possible predictor for detection of adnexal malignancy
• Abstracts: Amniotic fluid insulin concentration as a predictor of obesity. Prenatal and perinatal influences on long-term psychomotor development in offspring of diabetic mothers
• Abstracts: Public health outreach in limbo. Advocates: prenatal program off to healthy start. Long-awaited tobacco-control rules get tepid praise
• Abstracts: Assessing housestaff diagnostic skills using a cardiology patient simulator. The role of antineutrophil cytoplasmic antibody (c-ANCA) testing in the diagnosis of Wegener granulomatosis: a literature review and meta-analysis
• Abstracts: Healing through education: new NMA president cites learning as potent preventive. MGMA staff restructured; advocacy, education stressed

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.