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Fetal diaphragmatic hernia: the value of fetal echocardiography in the prediction of postnatal outcome.
- Source :
-
British journal of obstetrics and gynaecology [Br J Obstet Gynaecol] 1989 Jun; Vol. 96 (6), pp. 705-10. - Publication Year :
- 1989
-
Abstract
- Nineteen pregnancies complicated by fetal congenital diaphragmatic hernia (CDH) referred for fetal echocardiography have been reviewed. Congenital heart disease was diagnosed prenatally in three fetuses; in one of these the pregnancy was terminated, the two other infants died in the neonatal period. The presence of the fetal stomach within the thorax or a hernia/heart area ratio greater than 1.7 was associated with a large diaphragmatic defect. Polyhydramnios was not associated with a poor postnatal outcome. Evidence of cardiac ventricular disproportion before 24 weeks gestation in isolated CDH was associated with 100% mortality. Development of ventricular disproportion during the third trimester was associated with a survival rate of 75%. In three fetuses, all of whom survived, no ventricular disproportion was detected during the third trimester examination.
Details
- Language :
- English
- ISSN :
- 0306-5456
- Volume :
- 96
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- British journal of obstetrics and gynaecology
- Publication Type :
- Academic Journal
- Accession number :
- 2679867
- Full Text :
- https://doi.org/10.1111/j.1471-0528.1989.tb03286.x