Abstract
Major structural abnormalities affect 2–3% of pregnancies, but they represent a much
higher proportion of perinatal mortality. Detection of many congenital anomalies has
increased due to improved antenatal ultrasound diagnosis. This enables fetal medicine
specialists to look for other associated structural anomalies, test for chromosomal
or genetic abnormalities, offer fetal therapy in selected cases, and predict long-term
outcome. In conjunction with other specialists, this facilitates improved parental
counselling and permits parents to make choices regarding continuation of pregnancy
and allows preparation for the complex postnatal course. This contribution discusses
four relatively common congenital abnormalities (talipes, exomphalos, gastroschisis,
congenital diaphragmatic hernia) which require ongoing care in the antenatal setting
and on the labour ward by obstetricians.
Keywords
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Further reading
- Outcome of fetal talipes following in utero sonographic diagnosis.Ultrasound Obstet Gynecol. 2001; 18: 437-440
- Amnioexchange for fetuses with gastroschisis: is it effective?.J Pediatr Surg. 2007; 42: 777-782
Offerdal K, Jebens N, Blaas HGK, Eik-Nes SH. Prenatal ultrasound detection of talipes equinovarus in a non-selected population of 49 314 deliveries in Norway. Ultrasound Ostet Gynecol. Published online in Wiley InterScience www.interscience.wiley.com. doi: 10.1002/uog.4079.
- Clinical outcome of congenital talipes equinovarus diagnosed antenatally by ultrasound.J Bone Joint Surg. 2000; 82-B: 876-880
- Fetal gastrointestinal abnormalities.in: James D.K. Steer P.J. Weiner C.P. Gonik B. High risk pregnancy. Management options. 3rd edn. Philadelphia, 2006: 422-433 ([Chapter 20])
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© 2008 Published by Elsevier Inc. All rights reserved.
