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Does the prenatal diagnosis of fetal urinary tract anomalies affect perinatal outcome?

Valentin, Lil LU and Marsal, Karel LU (1998) In Annals of the New York Academy of Sciences 847. p.59-73
Abstract
A review of the literature is presented. Congenital renal and urinary tract anomalies are described, and the possible consequences of detecting them in utero are discussed. Prenatal detection of lethal anomalies affords the parents the option of terminating the pregnancy. If termination of pregnancy is not an acceptable option for the parents, the antenatal knowledge of lethal fetal anomaly helps the clinician to avoid unnecessary obstetric intervention, e.g., cesarean delivery for fetal distress. In certain cases of nonlethal renal and urinary tract anomalies, antenatal detection may influence both obstetric and postnatal management. It seems reasonable to anticipate that this might improve the prognosis of some children in terms of... (More)
A review of the literature is presented. Congenital renal and urinary tract anomalies are described, and the possible consequences of detecting them in utero are discussed. Prenatal detection of lethal anomalies affords the parents the option of terminating the pregnancy. If termination of pregnancy is not an acceptable option for the parents, the antenatal knowledge of lethal fetal anomaly helps the clinician to avoid unnecessary obstetric intervention, e.g., cesarean delivery for fetal distress. In certain cases of nonlethal renal and urinary tract anomalies, antenatal detection may influence both obstetric and postnatal management. It seems reasonable to anticipate that this might improve the prognosis of some children in terms of better preservation of kidney function. However, no scientific evidence is available to support such a statement. There are no randomized trials evaluating the outcome of congenital renal and urinary tract anomalies using different prenatal and postnatal diagnostic and therapeutic approaches. It is hoped that further research will lead to more rational antenatal and postnatal management protocols. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Annals of the New York Academy of Sciences
volume
847
pages
59 - 73
publisher
New York Academy of Sciences
external identifiers
  • scopus:0031821330
ISSN
0077-8923
language
English
LU publication?
yes
id
84ec56aa-b34d-45c8-8017-93fd04eb3603 (old id 1113542)
alternative location
http://www.annalsnyas.org/cgi/content/abstract/847/1/59
date added to LUP
2008-07-15 11:55:01
date last changed
2017-01-01 08:05:01
@article{84ec56aa-b34d-45c8-8017-93fd04eb3603,
  abstract     = {A review of the literature is presented. Congenital renal and urinary tract anomalies are described, and the possible consequences of detecting them in utero are discussed. Prenatal detection of lethal anomalies affords the parents the option of terminating the pregnancy. If termination of pregnancy is not an acceptable option for the parents, the antenatal knowledge of lethal fetal anomaly helps the clinician to avoid unnecessary obstetric intervention, e.g., cesarean delivery for fetal distress. In certain cases of nonlethal renal and urinary tract anomalies, antenatal detection may influence both obstetric and postnatal management. It seems reasonable to anticipate that this might improve the prognosis of some children in terms of better preservation of kidney function. However, no scientific evidence is available to support such a statement. There are no randomized trials evaluating the outcome of congenital renal and urinary tract anomalies using different prenatal and postnatal diagnostic and therapeutic approaches. It is hoped that further research will lead to more rational antenatal and postnatal management protocols.},
  author       = {Valentin, Lil and Marsal, Karel},
  issn         = {0077-8923},
  language     = {eng},
  pages        = {59--73},
  publisher    = {New York Academy of Sciences},
  series       = {Annals of the New York Academy of Sciences},
  title        = {Does the prenatal diagnosis of fetal urinary tract anomalies affect perinatal outcome?},
  volume       = {847},
  year         = {1998},
}