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[Invasive fetal therapy].

Eleonor Tiblad1, Sverker Ek2, Marius Kublickas2

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Summary
This summary is machine-generated.

Invasive fetal therapy in Sweden, including fetoscopic procedures for twin complications and selective reductions, has shown consistent outcome improvements since centralization in 2013.

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Area of Science:

  • Perinatal Medicine
  • Maternal-Fetal Medicine
  • Fetal Surgery

Background:

  • Invasive fetal therapy in Sweden addresses complex conditions in monochorionic pregnancies.
  • Conditions treated include twin-to-twin transfusion syndrome (TTS), twin anemia polycytemia sequence (TAPS), and selective reduction.

Purpose of the Study:

  • To summarize the scope and outcomes of invasive fetal therapy in Sweden.
  • To highlight the impact of centralizing rare fetal interventions.

Main Methods:

  • Fetoscopic interventions for TTS and TAPS.
  • Laser or radiofrequency ablation for selective reduction and fetal tumors.
  • Ultrasound-guided intrauterine blood transfusions for fetal anemia.
  • Placement of thoraco-amniotic and vesico-amniotic shunts.

Main Results:

  • Consistent improvement in outcomes for fetal interventions since 2013.
  • Established efficacy of various minimally invasive techniques.
  • Successful management of complex twin gestations and fetal anomalies.

Conclusions:

  • Centralization of rare invasive fetal therapies to a national center has improved patient outcomes.
  • Sweden offers comprehensive invasive fetal therapy for high-risk pregnancies.
  • Continued advancements in fetal interventions contribute to better perinatal care.