Who needs prenatal counselling with a pediatric surgeon? Experience from a large tertiary care university hospital.

Autor:	Froeliger A; Department of Gynecology and Obstetrics, Bordeaux University Hospital, Bordeaux, France., Harper L; Department of Pediatric Surgery, Bordeaux University Hospital, Bordeaux, France., Tunon de Lara S; Department of Pediatric Surgery, Bordeaux University Hospital, Bordeaux, France., Lavrand F; Department of Pediatric Surgery, Bordeaux University Hospital, Bordeaux, France., Loot M; Department of Pediatric Surgery, Bordeaux University Hospital, Bordeaux, France., Lefevre Y; Department of Pediatric Surgery, Bordeaux University Hospital, Bordeaux, France., Sentilhes L; Department of Gynecology and Obstetrics, Bordeaux University Hospital, Bordeaux, France., Coatleven F; Department of Gynecology and Obstetrics, Bordeaux University Hospital, Bordeaux, France., Dobremez É; Department of Pediatric Surgery, Bordeaux University Hospital, Bordeaux, France.
Jazyk:	angličtina
Zdroj:	Journal of perinatal medicine [J Perinat Med] 2022 Jan 17; Vol. 50 (4), pp. 419-426. Date of Electronic Publication: 2022 Jan 17 (Print Publication: 2022).
DOI:	10.1515/jpm-2021-0130
Abstrakt:	Objectives: To describe our experience with prenatal counselling for surgical anomalies in a large volume center. The secondary aim is to suggest a list of prenatal abnormalities warranting counselling by a pediatric surgeon. Methods: We reviewed all prenatal counselling consultations performed by the pediatric surgery team between January 1st, 2015 and December 31st, 2016. Results: A total of 169 patients or couples had a prenatal consultation with a pediatric surgeon. Prenatal work-up included a fetal MRI in 26% of cases, mainly for digestive and thoracic pathologies (56.1% of cases). Consultation with the pediatric surgeon led mainly to recommendations concerning the place of delivery. Induction for reasons related to the fetal anomaly occurred in 22.2% of cases. Most children were surgically treated within the first year of life (63.5%). Correlation between predicted prognosis and actual status at four years of life was 96.9%. Correlation between prenatal and postnatal diagnosis was 87.4%. Conclusions: Prenatal counselling by a pediatric surgeon allows couples to obtain clear information on the pathology of their unborn child, giving them greater autonomy in their decision to continue the pregnancy. (© 2022 Walter de Gruyter GmbH, Berlin/Boston.)
Databáze:	MEDLINE
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