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Fetal diaphragmatic hernia: the value of fetal echocardiography in the prediction of postnatal outcome
Author(s) -
CRAWFORD D. C.,
WRIGHT V. M.,
DRAKE D. P.,
ALLAN L. D.
Publication year - 1989
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1989.tb03286.x
Subject(s) - medicine , polyhydramnios , diaphragmatic hernia , congenital diaphragmatic hernia , fetus , fetal echocardiography , hernia , diaphragmatic breathing , thorax (insect anatomy) , gestation , cardiology , pregnancy , obstetrics , prenatal diagnosis , surgery , anatomy , pathology , genetics , alternative medicine , biology
Summary. Nineteen pregnancies complicated by fetal congenital diaphragmatic hernia (CDH) referred for fetal echocardiography have been reviewed. Congenital heart disease was diagnosed prenatally in three fetuses; in one of these the pregnancy was terminated, the two other infants died in the neonatal period. The presence of the fetal stomach within the thorax or a hernia/heart area ratio greater than 1·7 was associated with a large diaphragmatic defect. Polyhydramnios was not associated with a poor postnatal outcome. Evidence of cardiac ventricular disproportion before 24 weeks gestation in isolated CDH was associated with 100% mortality. Development of ventricular disproportion during the third trimester was associated with a survival rate of 75%. In three fetuses, all of whom survived, no ventricular disproportion was detected during the third trimester examination.