RESUMO
A pulmonary cystic adenomatoid malformation with evolving fetal hydrops was diagnosed in the early third trimester. Serial needle aspiration succeeded in resolving the hydrops; however, despite lobectomy the neonate died of microscopic contralateral disease undetected on ultrasound. The extent and nature of the underlying anomaly may limit the efficacy of fetal therapy for cystic adenomatoid malformation.
Assuntos
Malformação Adenomatoide Cística Congênita do Pulmão/terapia , Drenagem , Doenças Fetais/terapia , Adulto , Feminino , Humanos , Recém-Nascido , Gravidez , Terceiro Trimestre da GravidezRESUMO
Sixty-nine documented cases of placenta previa were managed at The Mount Sinai Medical Center during a five-year period. Vaginal delivery was attempted in six instances of partial placenta previa and was successful in five (83%). For these six cases, intrapartum bleeding was not excessive, blood transfusions were not necessary during or after labor, and all Apgar scores were greater than or equal to 7 at one and five minutes. Anemia in a neonate delivered at 32 weeks of gestation was the only neonatal complication that may have been due to intrapartum fetal hemorrhage. This series suggests that routine cesarean section is not necessary for all cases of partial placenta previa. A protocol is proposed for the intrapartum management of suspected placenta previa at term. Further clinical studies are necessary to evaluate the safety and clinical use of this mode of management.
