Fatal fetal abnormalities. Route of delivery and effect of the development of antepartum diagnostics in the last 13 years.

摘要: The appropriateness of cesarean section as the route delivery in pregnancies complicated by fatal fetal abnormalities was evaluated an obstetric population 47,924 deliveries during years 1978-90. incidence 0.50% and did not change study period. rate twice that whole population, procedure performed mainly for inappropriate indications. One-third sections were caused antepartum or intrapartum distress. After advent sophisticated real-time ultrasound equipment, management those cases seemed to increase, but later indications decreased, from increased experience with assessing prognosis malformed fetuses opportunities examine karyotype. Some conservatism seems justified when choosing a fetus before large, controlled, clinical studies become available.