Management and Outcomes of Fetal Hydrops in a Tertiary Care Centre in Singapore.
- Author:
Xin Yi THONG
1
;
Le Ye LEE
;
Dawn Ak CHIA
;
Yee Chee WONG
;
Arijit BISWAS
Author Information
1. Department of Paediatrics, Yong Loo Lin School of Medicine, National University Singapore, Singapore.
- Publication Type:Journal Article
- MeSH:
Abortion, Induced;
Blood Transfusion;
Cesarean Section;
Disease Management;
Drainage;
Female;
Fetal Therapies;
Hemoglobins, Abnormal;
Humans;
Hydrops Fetalis;
blood;
etiology;
therapy;
Infant, Newborn;
Intensive Care Units, Neonatal;
Pregnancy;
Prenatal Diagnosis;
Retrospective Studies;
Singapore;
Survival Rate;
Tertiary Care Centers;
Thoracentesis;
alpha-Thalassemia;
blood;
complications
- From:Annals of the Academy of Medicine, Singapore
2017;46(1):4-10
- CountrySingapore
- Language:English
-
Abstract:
: Fetal hydrops is a serious condition which can be caused by immune and non-immune aetiologies. We aimed to review the management of fetal hydrops at our hospital.: A retrospective review of all cases of fetal hydrops diagnosed in our institution from 2006 to 2013 was carried out.: Out of the 30 cases of fetal hydrops diagnosed antenatally, 17 were cases of Bart's hydrops which were all terminated in-utero. Of the remaining 13 cases, 11 cases consisted of non-immune causes of hydrops. Planned antenatal interventions including in-utero blood transfusions (n = 4) and thoracentesis (n = 5) as well as planned caesarean deliveries (n = 11) were performed in the majority of cases. Postnatal neonatal intensive care with interventions including chest drainage and transfusions were also performed. A majority, 92%, of the cases survived the perinatal period following a variable length of hospital stay ranging from a week to 3 months.: Management of fetal hydrops is complex. Close coordination between the obstetric and neonatal teams was the key to good short-term survival of neonates with antenatally diagnosed hydrops, as it allows timely antenatal intervention and anticipation of potential perinatal complications.
