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

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    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
    Issue Date
    2010-03
    MeSH
    Chi-Square Distribution
    Congenital Abnormalities
    Delivery, Obstetric
    Female
    Fetal Monitoring
    Humans
    Infant Mortality
    Infant, Newborn
    Ireland
    Pregnancy
    Prenatal Diagnosis
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    Citation
    Congenital anomalies: Impact of prenatal diagnosis on mode of delivery. 2010, 103 (3):88-9 Ir Med J
    Journal
    Irish medical journal
    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
    ISSN
    0332-3102
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