Abdominal wall defects: study of cases attended by the Fetal Medicine Outpatient Service of Hospital São Lucas da PUCRS [Abstract in English]

Aims: To analyze cases of abdominal wall malformation of the Fetal Medicine outpatient clinics between 1995 and 2006, describing treatments and outcomes and comparing our results to data available in literature. Methods: This is a retrospective, longitudinal study of patient chart and protocol fille...

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Detalles Bibliográficos
Autores: Marques, Caio Coelho, Milan, Carla, Luis Zanella, Pedro, Steibel, Gustavo, Dias, Marcela Godoy, Golin, Paula Vasconcellos
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2009
País:Brasil
Institución:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
Repositorio:Scientia Medica (Porto Alegre. Online)
Idioma:portugués
inglés
OAI Identifier:oai:ojs.revistaseletronicas.pucrs.br:article/4338
Acceso en línea:https://revistaseletronicas.pucrs.br/scientiamedica/article/view/4338
Access Level:acceso abierto
Palabra clave:PAREDE ABDOMINAL/anormalidades
DIAGNÓSTICO PRÉ-NATAL
ANORMALIDADES CONGÊNITAS
GASTROSQUISE
HÉRNIA UMBILICAL
ESTUDOS DE CASOS.
Descripción
Sumario:Aims: To analyze cases of abdominal wall malformation of the Fetal Medicine outpatient clinics between 1995 and 2006, describing treatments and outcomes and comparing our results to data available in literature. Methods: This is a retrospective, longitudinal study of patient chart and protocol filled up during patient pre-natal follow-up. All patients who received pre-natal care and gave birth at our institution from 1995 to 2006 were included. Results: 551 cases of fetal malformation were followed. Among these, 35 presented abdominal wall defect. Average maternal age was 23 years. The majority (51.4%) was primigravid. In 82.9% of the cases, a cesarean section was performed, and the remaining 6 vaginal births were of still born fetuses. The mean newborn weigh was 2.120 g, the mean gestational age was 35 weeks and mean Apgar scores were 6/8. Seventeen patients received immediate intervention by the pediatric surgical team. Conclusions: The importance of the diagnosis of fetal malformation is exemplified by the opportunity to plan the birth, to identify early intra-uterine complications, and to be able to send the patient to tertiary care centers, where an adequate treatment and multidisciplinary assistance can be offered.