Published in:
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%. …