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Published in: Pediatric Surgery International 6/2007

01-06-2007 | Review Article

Fetal counselling for congenital malformations

Author: Kokila Lakhoo

Published in: Pediatric Surgery International | Issue 6/2007

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Excerpt

Paediatric surgeons are often called to counsel parents once a surgical abnormality is diagnosed on a prenatal scan. The referral base for a paediatric surgeon now includes the perinatal period. Expertise in surgical correction of congenital malformations may favourably influence the perinatal management of prenatally diagnosed anomalies, by changing the site of delivery for immediate postnatal treatment; altering the mode of delivery to prevent obstructed labour or haemorrhage: early delivery to prevent ongoing fetal organ damage, or treatment in utero to prevent, minimize or reverse fetal organ injury as a result of a structural defect [1, 2]. Crombleholme et al. [3] have confirmed the favourable impact of prenatal surgical consultation in influencing the site of delivery in 37% of cases, changing the mode of delivery by 6.8%, reversing the decision to terminate a pregnancy by 3.6% and influencing the early delivery of babies by 4.5%. …
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Metadata
Title
Fetal counselling for congenital malformations
Author
Kokila Lakhoo
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
Pediatric Surgery International / Issue 6/2007
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-007-1896-8

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