RESUMO
A 26-year-old woman presented at 28 weeks' gestation with intracranial hemorrhage, stuporous mentalilty. The pregnancy was maintained with supportive care. At 35+1 weeks' gestation, a 2560 gm, healthy male baby was delivered by means of cesarean section. Maintaining adequate nutritional status is vital in achieving appropriate fetal growth and development. Maternal malnutrition may have an adverse effect on the fetus and neonate, with deleterious effect on birth weight and brain development. When the mother is unconcious, fetal well-being should be assessed by serial biophysical profile scoring. There is no neurosurgical contraindication to vaginal delivery if patient is of good neurologic grade. Nevertheless, cesarean section may be preferable if the patient is in poor neurologic condition.
Assuntos
Adulto , Feminino , Humanos , Recém-Nascido , Masculino , Gravidez , Peso ao Nascer , Encéfalo , Cesárea , Desenvolvimento Fetal , Feto , Hemorragias Intracranianas , Desnutrição , Mães , Estado Nutricional , EstuporRESUMO
Fetal bilateral renal agenesis is a lethal congenital anomaly. An early and reliable prenatal diagnosis is extremely important as it may offer options for pregnancy termination as early as possible. The criteria for the ultrasonographic diagnosis of bilateral renal agenesis are severe oligohydramnios, nonvisualization of the bladder, and the empty renal fossa. However, severe oligohydramnios makes it difficult to diagnose the disease because of poor sonographic resolution. We present two cases of bilateral renal agenesis, one is diagnosed by ultrasonography after amnioinfusion at 24 weeks gestation, the other is diagnosed postnatally after term delivery.