1.Management and Outcomes of Fetal Hydrops in a Tertiary Care Centre in Singapore.
Xin Yi THONG ; Le Ye LEE ; Dawn Ak CHIA ; Yee Chee WONG ; Arijit BISWAS
Annals of the Academy of Medicine, Singapore 2017;46(1):4-10
: 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.
Abortion, Induced
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Blood Transfusion
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Cesarean Section
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Disease Management
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Drainage
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Female
;
Fetal Therapies
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Hemoglobins, Abnormal
;
Humans
;
Hydrops Fetalis
;
blood
;
etiology
;
therapy
;
Infant, Newborn
;
Intensive Care Units, Neonatal
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Pregnancy
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Prenatal Diagnosis
;
Retrospective Studies
;
Singapore
;
Survival Rate
;
Tertiary Care Centers
;
Thoracentesis
;
alpha-Thalassemia
;
blood
;
complications