Nonimmune hydrops fetalis

Clinical experience and factors related to a poor outcome

Ramón A. Castillo, Lawrence D Devoe, Hamid A. Hadi, Sara Martin, Dorothy Geist

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

Twenty-one cases of nonimmune hydrops fetalis diagnosed at the Medical College of Georgia during a 2year period are presented. All fetuses satisfied strict diagnostic criteria and were evaluated according to a standard protocol. The corrected mortality rate was 95% with pulmonary hypoplasia being the most common cause of perinatal death. The mean gestational age at diagnosis was 24.8 weeks; in 57% of the cases the cause of nonimmune hydrops fetalis was identified. Fifteen fetuses had serial ultrasound assessment and in 19 cases postnatal evaluation was performed. Two factors that consistently conveyed a poor perinatal outcome were ultrasonographic evidence of malformation and/or the presence of persistent pleural effusions. A method for the quantification of fetal pleural effusions is presented and its clinical relevance is discussed.

Original languageEnglish (US)
Pages (from-to)812-816
Number of pages5
JournalAmerican Journal of Obstetrics and Gynecology
Volume155
Issue number4
DOIs
StatePublished - Jan 1 1986

Fingerprint

Hydrops Fetalis
Pleural Effusion
Fetus
Gestational Age
Cause of Death
Lung
Mortality
Perinatal Death

Keywords

  • Hydrops
  • nonimmune
  • pleural effusions

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Nonimmune hydrops fetalis : Clinical experience and factors related to a poor outcome. / Castillo, Ramón A.; Devoe, Lawrence D; Hadi, Hamid A.; Martin, Sara; Geist, Dorothy.

In: American Journal of Obstetrics and Gynecology, Vol. 155, No. 4, 01.01.1986, p. 812-816.

Research output: Contribution to journalArticle

Castillo, Ramón A. ; Devoe, Lawrence D ; Hadi, Hamid A. ; Martin, Sara ; Geist, Dorothy. / Nonimmune hydrops fetalis : Clinical experience and factors related to a poor outcome. In: American Journal of Obstetrics and Gynecology. 1986 ; Vol. 155, No. 4. pp. 812-816.
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