Management of Severe Non Immune Hydrops Fetalis Cases: The Role of Diagnostic and/or Therapeutic Interventions

Authors

  • Mehmet Sinan Beksaç Hacettepe University Faculty of Medicine Department of Obstetrics and Gynecology, Ankara
  • Tülay Özlü Hacettepe University Faculty of Medicine Department of Obstetrics and Gynecology, Ankara
  • Ebru Dikensoy University of Gaziantep Department of Obstetrics and Gynecology, Gaziantep
  • Bahar Cebesoy University of Gaziantep Department of Obstetrics and Gynecology, Gaziantep

Keywords:

Non-immune hydrops, Fetal blood sampling, Intrauterine transfusion

Abstract

OBJECTIVE: Non-immune hydrops fetalis (NHF) may have a wide variety of etiologies. The prognosis of this condition is generally poor. There are no standard, optimal management strategies and the clinical management presents a dilemma most of the time.
STUDY DESIGN: We retrospectively evaluated 8 NHF cases which several intrauterine interventions are performed. We discuss the role of such interventions in NHF cases.
RESULTS: In these 8 cases, we performed the three interventional methods (FBS, IUT, and intravenous Sandoglobulin) for NHF. 6 patients of them had hydrops fetalis, one had renal agenesia and hydrops and the other had maternal acute CMV infections.
CONCLUSION: These interventions gave us some oppurtunities. For example, the fetus in the first case, could be followed until 35th gestational weeks and was delivered alive. By this way a postnatal diagnosis of galactosialidosis could be possible. Having this information will be useful for the patient when planning the future pregnancies

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Published

2009-08-12

How to Cite

1.
Beksaç MS, Özlü T, Dikensoy E, Cebesoy B. Management of Severe Non Immune Hydrops Fetalis Cases: The Role of Diagnostic and/or Therapeutic Interventions. Gynecol Obstet Reprod Med [Internet]. 2009Aug.12 [cited 2024Mar.29];15(2):85-8. Available from: https://gorm.com.tr/index.php/GORM/article/view/408

Issue

Section

Obstetrics; Maternal Fetal Medicine and Perinatology