Document Detail


The management of fetal hydrocephalus.
MedLine Citation:
PMID:  3885737     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The management of 53 consecutive documented cases of fetal hydrocephalus is presented. Hydrocephalus was isolated in nine cases (17%) and associated with other abnormalities in 44 (83%). Our success in diagnosing abnormalities associated with hydrocephalus improved from the time period 1977 through 1981 to that of 1982 through 1983. In this series, management consisted of termination of pregnancy, 14 (26%); ventriculoamniotic shunt placement and cesarean section, two (4%); cephalocentesis and cesarean section, two (4%); cesarean section without cephalocentesis or ventriculoamniotic shunt placement, 18 (34%); cephalocentesis and vaginal delivery, nine (17%); and vaginal delivery without cephalocentesis, eight (15%). The outcomes were spontaneous abortion, 14 (26%); intrapartum death, eight (15%); postnatal death, 16 (30%); currently alive, 15 (28%). Current approaches to the management of fetal hydrocephalus are discussed, and areas of therapeutic uncertainty are delineated.
Authors:
F A Chervenak; R L Berkowitz; M Tortora; J C Hobbins
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  151     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1985 Apr 
Date Detail:
Created Date:  1985-05-07     Completed Date:  1985-05-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  933-42     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / complications
Amnion
Brain / abnormalities,  pathology
Cerebrospinal Fluid Shunts
Cesarean Section
Delivery, Obstetric
Female
Fetal Diseases* / diagnosis,  mortality,  surgery
Humans
Hydrocephalus* / diagnosis,  mortality,  surgery
Infant, Newborn
Labor, Induced
Pregnancy
Prenatal Diagnosis
Punctures
Spina Bifida Occulta / complications
Ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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