Indicated preterm birth for fetal anomalies

Seminars in Perinatology
S D Craigo

Abstract

Between 2% and 3% of pregnancies are complicated by fetal anomalies. For most anomalies, there is no advantage to late preterm or early-term delivery. The risks of maternal or fetal complication are specific for each anomaly. Very few anomalies pose potential maternal risk. Some anomalies carry ongoing risks to the fetus, such as an increased risk of fetal death, hemorrhage, or organ damage. In a limited number of select cases, the advantages of late preterm or early-term birth may include avoiding an ongoing risk of fetal death related to the anomaly, allowing delivery in a controlled setting with availability of subspecialists and allowing direct care for the neonate with organ injury. The optimal gestational age for delivery cannot be determined for all pregnancies complicated by fetal anomalies. For most pregnancies complicated by anomalies, there is no change to obstetrical management regarding timing of delivery. For those that may benefit from late preterm or early-term delivery, variability exists such that each management plan should be individualized.

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Citations

Aug 8, 2012·Neuropsychology Review·Ida Sue BaronRobin Baker
Apr 19, 2013·Human Reproduction·Shengli LinPing Liu
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Mar 17, 2012·Seminars in Fetal & Neonatal Medicine·Cynthia Gyamfi-Bannerman
May 1, 2013·American Journal of Obstetrics and Gynecology·Andrew P SouthJareen Meinzen-Derr

Related Concepts

Embryopathies
Fetal Structures
Fetal Ultrasonography
Obstetric Delivery
Premature Birth
Congenital Abnormality
Birth
Fetal Death
Fetus
Patient Care

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