Maternal morbidity after maternal-fetal surgery

American Journal of Obstetrics and Gynecology
Kirstin GolombeckM R Harrison

Abstract

There is a paucity of published data on the maternal risks of fetal surgical interventions. We analyzed maternal morbidity and mortality that were associated with different types of fetal intervention (open hysterotomy, various endoscopic procedures and percutaneous techniques) to quantify this risk. We performed a retrospective evaluation of a continuous series of 187 cases that had been performed between July 1989 and May 2003 at the Fetal Treatment Center, a highly specialized interdisciplinary center for fetal surgery at the University of California, San Francisco. The primary outcome was the frequency of maternal morbidity for open, endoscopic, and percutaneous procedures to access the fetus. There were 187 pregnant women with confirmed major fetal malformations who were candidates for intrauterine fetal intervention. Maternal-fetal surgery was performed in 87 cases by open hysterotomy, in 69 cases by endoscopic procedures, and in 31 cases by percutaneous techniques. There were no maternal deaths, but significant short-term morbidity was observed. There were no significant differences in the incidence of premature rupture of membranes, pulmonary edema, placental abruption, postoperative vaginal bleeding, preterm delivery, ...Continue Reading

References

Oct 1, 1992·Journal of Pediatric Surgery·R W JenningsM R Harrison
Feb 13, 1991·JAMA : the Journal of the American Medical Association·M T LongakerM R Harrison
Jun 1, 1986·Journal of Pediatric Surgery·N S AdzickJ M Laberge
May 1, 1994·Journal of Pediatric Surgery·M H HedrickM R Harrison
Feb 2, 1994·JAMA : the Journal of the American Medical Association·M R HarrisonL J Howell
Feb 1, 1997·Journal of Pediatric Surgery·G B MychaliskaM R Harrison
Jun 12, 1999·Fetal Diagnosis and Therapy·J A FarrellM R Harrison
Apr 27, 2000·Fetal Diagnosis and Therapy·J B LopooC T Albanese
Sep 6, 2000·Fetal Diagnosis and Therapy·V A FeldsteinM R Harrison
Sep 25, 2001·American Journal of Obstetrics and Gynecology·M R HarrisonR A Filly
Apr 23, 2002·American Journal of Obstetrics and Gynecology·Melinda M Scully NoahCraig T Albanese
Jan 31, 2003·World Journal of Surgery·Roman M Sydorak, Michael R Harrison
Nov 14, 2003·The New England Journal of Medicine·Michael R HarrisonCraig T Albanese
Mar 16, 2004·Journal of Pediatric Surgery·Shinjiro HiroseMichael R Harrison

❮ Previous
Next ❯

Citations

Apr 5, 2013·Pediatric Surgery International·Jesse D Vrecenak, Alan W Flake
Dec 14, 2011·Cardiology in the Young·Constantine D Mavroudis
Sep 2, 2008·The American Journal of Bioethics : AJOB·Anne Drapkin LyerlyRuth R Faden
Aug 23, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Michele L LombardoFrançois I Luks
May 7, 2008·Current Opinion in Anaesthesiology·Frederik De BuckMarc Van de Velde
Apr 5, 2008·Current Opinion in Obstetrics & Gynecology·Ramen H Chmait, Rubén A Quintero
Mar 3, 2012·Journal of Neurosurgery. Pediatrics·Nalin GuptaDiana Farmer
Dec 24, 2013·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A S OruçN Danişman
Aug 27, 2013·Clinics in Perinatology·Hans P Sviggum, Bhavani Shankar Kodali
Jun 12, 2012·Clinics in Perinatology·Eveline H ShueHanmin Lee
May 1, 2012·Best Practice & Research. Clinical Obstetrics & Gynaecology·Emily A Partridge, Alan W Flake
Jun 12, 2012·Clinics in Perinatology·Amar NijagalTippi C MacKenzie
Apr 17, 2012·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Jody Farrell, Lori J Howell
Jan 17, 2012·Journal of Pediatric Surgery·Benjamin KowittFrançois I Luks
Jun 30, 2009·Clinics in Perinatology·Danny Wu, Robert H Ball
Jun 30, 2009·Clinics in Perinatology·Linda M Hopkins, Vickie A Feldstein
Jun 30, 2009·Clinics in Perinatology·Eric Jelin, Hanmin Lee
Apr 28, 2007·Seminars in Pediatric Surgery·Yoshihiro Kitano
Jan 9, 2007·Journal of Pediatric Surgery·Erich J GrethelHanmin Lee
Sep 14, 2013·Pediatric Cardiology·Simone Rolim Fernandes Fontes PedraCarlos Augusto Cardoso Pedra
Aug 7, 2009·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J C JaniJ A Deprest
Nov 4, 2008·Acta Paediatrica·Stephen D BrownJohn D Lantos
Jun 11, 2011·Prenatal Diagnosis·Yves Ville
Apr 19, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E F WernerS F Thung
Feb 5, 2011·Prenatal Diagnosis·François I Luks
Apr 23, 2014·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J DegenhardtT Kohl
Jun 13, 2014·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C WohlmuthD Wertaschnigg
Apr 14, 2016·Molecular Therapy. Methods & Clinical Development·Graça Almeida-PoradaChristopher D Porada
Jul 25, 2015·Journal of the American College of Cardiology·Anita J Moon-GradyUNKNOWN International Fetal Cardiac Intervention Registry
Mar 19, 2015·Journal of Pediatric Surgery·S Christopher DerderianTippi C MacKenzie
Oct 26, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Jacek ZamłyńskiJanusz Bohosiewicz
Mar 18, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Yaniv Bar-CohenRamen H Chmait
Jan 30, 2015·Frontiers in Pharmacology·S Christopher DerderianTippi C MacKenzie
Feb 6, 2017·Current Opinion in Obstetrics & Gynecology·Alyaa Al-RefaiTim Van Mieghem
Jun 7, 2007·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Susan P WalkerUNKNOWN Victorian Fetal Therapy Service
Feb 16, 2008·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·S FechnerM Meyer-Wittkopf
Dec 1, 2006·Fetal Diagnosis and Therapy·Francesco PominiSalvatore Mancuso
May 18, 2019·Biomaterials Science·Sally M WinklerPhillip B Messersmith
Mar 21, 2009·Obstetrics and Gynecology·Nancy C Chescheir
Aug 8, 2014·Obstetrical & Gynecological Survey·Paolo SalaPierangela De Biasio
Mar 20, 2013·Anesthesiology·Marla FerschlMark D Rollins

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.