Document Detail


The prenatal diagnosis of ventral abdominal wall defects.
MedLine Citation:
PMID:  2945437     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ventral abdominal defects are frequently diagnosed by prenatal ultrasonography. This review of 47 infants with ventral defects was designed to determine the effect of prenatal diagnosis on neonatal outcome. All nine infants with prenatal diagnosis were delivered by cesarean section at tertiary level hospitals. Only 13 (34%) of 38 infants with unsuspected defects were delivered by cesarean section and 15 (39%) were delivered at tertiary level hospitals. There was no difference in mortality between infants with prenatal diagnosis (44%) and those with unsuspected defects (37%). Increased mortality correlated with the presence of other major anomalies (79% mortality), with birth weight less than 1500 gm (80%), and with omphaloceles (65%). We conclude that infants with other associated defects or with birth weight less than 1500 gm have poor outcomes and cesarean section may not be justifiable. However, in larger infants without other anomalies, prenatal diagnosis was followed by cesarean section and a good prognosis.
Authors:
S Hasan; M C Hermansen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  155     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1986 Oct 
Date Detail:
Created Date:  1986-11-19     Completed Date:  1986-11-19     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:  842-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abdominal Muscles / abnormalities*,  surgery
Abnormalities, Multiple / diagnosis,  mortality
Delivery, Obstetric / methods
Female
Fetal Diseases / diagnosis*
Hernia, Umbilical / congenital,  diagnosis,  surgery
Humans
Infant, Newborn
Pregnancy
Prenatal Diagnosis*
Ultrasonography

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


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