Who needs prenatal counselling with a pediatric surgeon? Experience from a large tertiary care university hospital.
antenatal consultation
fetal malformation
fetal medicine
pediatric surgery
prenatal counseling
prenatal diagnosis
Journal
Journal of perinatal medicine
ISSN: 1619-3997
Titre abrégé: J Perinat Med
Pays: Germany
ID NLM: 0361031
Informations de publication
Date de publication:
25 May 2022
25 May 2022
Historique:
received:
16
03
2021
accepted:
18
12
2021
pubmed:
14
1
2022
medline:
14
5
2022
entrez:
13
1
2022
Statut:
epublish
Résumé
To describe our experience with prenatal counselling for surgical anomalies in a large volume center. The secondary aim is to suggest a list of prenatal abnormalities warranting counselling by a pediatric surgeon. We reviewed all prenatal counselling consultations performed by the pediatric surgery team between January 1st, 2015 and December 31st, 2016. A total of 169 patients or couples had a prenatal consultation with a pediatric surgeon. Prenatal work-up included a fetal MRI in 26% of cases, mainly for digestive and thoracic pathologies (56.1% of cases). Consultation with the pediatric surgeon led mainly to recommendations concerning the place of delivery. Induction for reasons related to the fetal anomaly occurred in 22.2% of cases. Most children were surgically treated within the first year of life (63.5%). Correlation between predicted prognosis and actual status at four years of life was 96.9%. Correlation between prenatal and postnatal diagnosis was 87.4%. Prenatal counselling by a pediatric surgeon allows couples to obtain clear information on the pathology of their unborn child, giving them greater autonomy in their decision to continue the pregnancy.
Identifiants
pubmed: 35026885
pii: jpm-2021-0130
doi: 10.1515/jpm-2021-0130
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
419-426Informations de copyright
© 2022 Walter de Gruyter GmbH, Berlin/Boston.
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