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dc.contributor.authorWalsh, J
dc.contributor.authorMahony, R
dc.contributor.authorHiggins, S
dc.contributor.authorMcParland, P
dc.contributor.authorCarroll, S
dc.contributor.authorMcAuliffe, F
dc.date.accessioned2011-11-15T16:01:12Z
dc.date.available2011-11-15T16:01:12Z
dc.date.issued2011-11-15T16:01:12Z
dc.identifier.citationThoraco-amniotic shunting for fetal pleural effusion--a case series., 104 (7):205-8 Ir Med Jen
dc.identifier.issn0332-3102
dc.identifier.pmid21957687
dc.identifier.urihttp://hdl.handle.net/10147/189692
dc.description.abstractFetal pleural effusion is a rare occurrence, with an incidence of 1 per 10-15,000 pregnancies. The prognosis is related to the underlying cause and is often poor. There is increasing evidence that in utero therapy with thoraco-amniotic shunting improves prognosis by allowing lung expansion thereby preventing hydrops and pulmonary hypoplasia. This is a review of all cases of fetal pleural effusion managed over an eight year period the National Maternity Hospital Dublin. Over the nine year period there were 21 cases of fetal pleural effusion giving an overall incidence of 1 per 9281 deliveries. Of these, 15 underwent thoraco-amniotic shunting. There were associated anomalies diagnosed in 5 (33%) of cases. The overall survival in our cohort was 53%. The presence of hydrops was a poor prognostic factor, with survival in cases with hydrops of 33% (3/9) compared to 83% (5/6) in those cases without associated hydrops.
dc.language.isoenen
dc.subject.meshAdult
dc.subject.meshAmniotic Fluid
dc.subject.meshFemale
dc.subject.meshFetal Diseases
dc.subject.meshHumans
dc.subject.meshHydrops Fetalis
dc.subject.meshIncidence
dc.subject.meshIreland
dc.subject.meshMaternal Age
dc.subject.meshPleural Effusion
dc.subject.meshPrognosis
dc.subject.meshSurvival Rate
dc.titleThoraco-amniotic shunting for fetal pleural effusion--a case series.en
dc.typeArticleen
dc.contributor.departmentNational Maternity Hospital, Holles St, Dublin 2. jennifer.walsh@ucd.ieen
dc.identifier.journalIrish medical journalen
dc.description.provinceLeinster
refterms.dateFOA2018-08-22T14:59:56Z
html.description.abstractFetal pleural effusion is a rare occurrence, with an incidence of 1 per 10-15,000 pregnancies. The prognosis is related to the underlying cause and is often poor. There is increasing evidence that in utero therapy with thoraco-amniotic shunting improves prognosis by allowing lung expansion thereby preventing hydrops and pulmonary hypoplasia. This is a review of all cases of fetal pleural effusion managed over an eight year period the National Maternity Hospital Dublin. Over the nine year period there were 21 cases of fetal pleural effusion giving an overall incidence of 1 per 9281 deliveries. Of these, 15 underwent thoraco-amniotic shunting. There were associated anomalies diagnosed in 5 (33%) of cases. The overall survival in our cohort was 53%. The presence of hydrops was a poor prognostic factor, with survival in cases with hydrops of 33% (3/9) compared to 83% (5/6) in those cases without associated hydrops.


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