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Annals of the Academy of Medicine, Singapore ; : 4-10, 2017.
Artigo em Inglês | WPRIM | ID: wpr-353632

RESUMO

: Fetal hydrops is a serious condition which can be caused by immune and non-immune aetiologies. We aimed to review the management of fetal hydrops at our hospital.: A retrospective review of all cases of fetal hydrops diagnosed in our institution from 2006 to 2013 was carried out.: Out of the 30 cases of fetal hydrops diagnosed antenatally, 17 were cases of Bart's hydrops which were all terminated in-utero. Of the remaining 13 cases, 11 cases consisted of non-immune causes of hydrops. Planned antenatal interventions including in-utero blood transfusions (n = 4) and thoracentesis (n = 5) as well as planned caesarean deliveries (n = 11) were performed in the majority of cases. Postnatal neonatal intensive care with interventions including chest drainage and transfusions were also performed. A majority, 92%, of the cases survived the perinatal period following a variable length of hospital stay ranging from a week to 3 months.: Management of fetal hydrops is complex. Close coordination between the obstetric and neonatal teams was the key to good short-term survival of neonates with antenatally diagnosed hydrops, as it allows timely antenatal intervention and anticipation of potential perinatal complications.


Assuntos
Feminino , Humanos , Recém-Nascido , Gravidez , Aborto Induzido , Transfusão de Sangue , Cesárea , Gerenciamento Clínico , Drenagem , Terapias Fetais , Hemoglobinas Anormais , Hidropisia Fetal , Sangue , Terapêutica , Unidades de Terapia Intensiva Neonatal , Diagnóstico Pré-Natal , Estudos Retrospectivos , Singapura , Taxa de Sobrevida , Centros de Atenção Terciária , Toracentese , Talassemia alfa , Sangue
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