Congenital anomalies: Impact of prenatal diagnosis on mode of delivery.

Hdl Handle:
http://hdl.handle.net/10147/125856
Title:
Congenital anomalies: Impact of prenatal diagnosis on mode of delivery.
Authors:
Dempsey, M A; Breathnach, F M; Geary, M; Fitzpatrick, C; Robson, M; Malone, F D
Affiliation:
Royal College of Surgeons in Ireland, Dublin 2. markydempsey@gmail.com
Citation:
Congenital anomalies: Impact of prenatal diagnosis on mode of delivery. 2010, 103 (3):88-9 Ir Med J
Journal:
Irish medical journal
Issue Date:
Mar-2010
URI:
http://hdl.handle.net/10147/125856
PubMed ID:
20666076
Abstract:
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.
Item Type:
Article
Language:
en
MeSH:
Chi-Square Distribution; Congenital Abnormalities; Delivery, Obstetric; Female; Fetal Monitoring; Humans; Infant Mortality; Infant, Newborn; Ireland; Pregnancy; Prenatal Diagnosis
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorDempsey, M Aen
dc.contributor.authorBreathnach, F Men
dc.contributor.authorGeary, Men
dc.contributor.authorFitzpatrick, Cen
dc.contributor.authorRobson, Men
dc.contributor.authorMalone, F Den
dc.date.accessioned2011-03-28T14:40:25Z-
dc.date.available2011-03-28T14:40:25Z-
dc.date.issued2010-03-
dc.identifier.citationCongenital anomalies: Impact of prenatal diagnosis on mode of delivery. 2010, 103 (3):88-9 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid20666076-
dc.identifier.urihttp://hdl.handle.net/10147/125856-
dc.description.abstractAn 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.-
dc.language.isoenen
dc.subject.meshChi-Square Distribution-
dc.subject.meshCongenital Abnormalities-
dc.subject.meshDelivery, Obstetric-
dc.subject.meshFemale-
dc.subject.meshFetal Monitoring-
dc.subject.meshHumans-
dc.subject.meshInfant Mortality-
dc.subject.meshInfant, Newborn-
dc.subject.meshIreland-
dc.subject.meshPregnancy-
dc.subject.meshPrenatal Diagnosis-
dc.titleCongenital anomalies: Impact of prenatal diagnosis on mode of delivery.en
dc.typeArticleen
dc.contributor.departmentRoyal College of Surgeons in Ireland, Dublin 2. markydempsey@gmail.comen
dc.identifier.journalIrish medical journalen

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