+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Congenital anomalies: Impact of prenatal diagnosis on mode of delivery

Congenital anomalies: Impact of prenatal diagnosis on mode of delivery

Irish Medical Journal 103(3): 88-89

An important aspect of prenatal diagnosis is the avoidance of emergency caesarean delivery (CD) where the abnormality is considered lethal and the infant will not survive. A consecutive cohort of 211,163 women delivered of infants weighing 500 grams or more in three tertiary referral centers from 01/95 to 12/04, was analyzed for perinatal death attributed to congenital malformations. In the group that died in the neonatal period, the emergency CD rate was significantly lower where anomaly was detected versus undetected (17.5% versus 31%). Further, in contrast to undiagnosed anomalies, the indication for emergency CD was more often maternal in the diagnosed group (42% versus 19%, p=0.019). When a diagnosis of lethal congenital anomaly has been made in the prenatal period, the reduction in the emergency CD rate by almost half in this study supports a pivotal role for prenatal diagnosis in optimizing maternal care.

(PDF emailed within 1 workday: $29.90)

Accession: 052296083

Download citation: RISBibTeXText

PMID: 20666076

Related references

Prenatal diagnosis of congenital heart disease: impact of mode of delivery on neonatal outcome. Prenatal Diagnosis 32(13): 1250-1255, 2013

OP21.03: Impact of prenatal diagnosis of complex congenital heart disease on mode of delivery and neonatal outcomes. Ultrasound in Obstetrics & Gynecology 34(S1): 129-129, 2009

Impact of Prenatal Screening and Diagnosis on the Epidemiology of Structural Congenital Anomalies. Journal of Medical Screening 2(2): 67-70, 1995

Impact of prenatal screening and diagnosis on the epidemiology of structural congenital anomalies. Journal of Medical Screening 2(2): 67-70, 1995

Prenatal diagnosis, its potential impact on the prevalence and management of congenital anomalies. Saudi Medical Journal 19(2): 130-135, 1998

Impact of prenatal diagnosis on livebirth prevalence of children with congenital anomalies. Annales de Genetique 45(3): 115-121, July-September, 2002

Ultrasonic prenatal diagnosis of congenital anomalies: the impact on medical management during pregnancy. Nederlands Tijdschrift Voor Geneeskunde 147(19): 889-892, 2003

Impact of prenatal diagnosis by ultrasound on the prevalence of congenital anomalies at birth in southern France. Journal of Epidemiology and Community Health 48(3): 290-296, 1994

Impact of Prenatal Diagnosis by Ultrasound on the Prevalence of Congenital Anomalies at Birth in Southern France. Journal of Epidemiology and Community Health (1979-) 48(3): 290-296, 1994

Trends in live birth prevalence of congenital anomalies 1979-1999 The impact of prenatal diagnosis. European Journal of Human Genetics 10(Suppl. 1): 275, 2002

Terminated pregnancy following prenatal diagnosis of congenital anomalies--a part of register of congenital anomalies. Akusherstvo i Ginekologiia 45(6): 10-15, 2006

Prenatal diagnosis and assessment of congenital spinal anomalies: Review for prenatal counseling. World Journal of Orthopedics 7(7): 406-417, 2016

Prenatal diagnosis and management of congenital heart defect: significance of associated fetal anomalies and prenatal chromosome studies. American Journal of Medical Genetics 21(2): 285-290, 1985

Evaluation of prenatal diagnosis of congenital heart disease by registry of congenital anomalies. American Journal of Human Genetics 51(4 SUPPL ): A405, 1992

Evaluation of prenatal diagnosis of congenital anomalies diagnosable by prenatal ultrasound in patients in neonatal intensive care units of Cali, Colombia. Colombia Medica 45(1): 32-38, 2015