Postnatal follow-up of antenatal hydronephrosis: a health-care challenge
| Autor: | Peter J. Giannone, Craig A. Nankervis, Richard O'Shaughnessy, Leandro Cordero, S A Koff |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Postnatal Care Pediatrics medicine.medical_specialty Time Factors Multicystic dysplastic kidney Gestational Age Hydronephrosis Third trimester Severity of Illness Index Ultrasonography Prenatal Cohort Studies Neonatal Screening Pregnancy Risk Factors Health care Outcome Assessment Health Care Antenatal Hydronephrosis medicine Humans Monitoring Physiologic Probability Retrospective Studies Fetus business.industry Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Prenatal Care medicine.disease United States Logistic Models Pediatrics Perinatology and Child Health Female business Follow-Up Studies |
| Zdroj: | Journal of perinatology : official journal of the California Perinatal Association. 29(5) |
| ISSN: | 1476-5543 |
| Popis: | To examine our experience with ANH and to determine the success of our postnatal follow-up program. Charts of mothers and infants seen (2004 to 2008) at our Regional Perinatal Center were reviewed retrospectively. ANH was defined during the third trimester by anterior pelvic diameters as follows: mild 7 to 9, moderate 10 to 14 or severe ⩾15 mm. Fetuses with multicystic dysplastic kidney (MCDK) were included. Screening of approximately 15 000 ultrasound (US) reports identified 268 fetuses with ANH. After prenatal US surveillance, 88 (33%) fetuses had resolved, while 180 (67%) required postnatal follow-up. These 180 fetuses were diagnosed with mild 38 (21%), moderate 83 (46%) and severe 19 (11%) ANH, uni or bilateral hydroureters 12 (7%), MCDK 19 (10%) and miscellaneous 9 (5%). Postnatal follow-up was successfully established for 75% of infants with hydroureters, 68% for those with MCDK and for 37% of infants with mild, 53% with moderate and 58% with severe ANH. Factors commonly known to influence compliance were not found more frequently among the 91 infants who were lost to follow-up. The only positive predictor for postnatal follow-up was a prenatal consultation with the pediatric urologist. Our antepartum program for diagnosis of ANH is accessible and efficient; however, there was an unacceptably high number of infants lost to follow-up. The absence of traditional barriers for compliance highlights the need to explore new ways of improving postnatal follow-up of infants with ANH. |
| Databáze: | OpenAIRE |
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