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Surgical problems in the fetus: a multidisciplinary approach.
L G Wilkinson1, R W Powell, M L Cabaniss
1Division of Pediatric Surgery, University of South Alabama Medical Center, Mobile 36617.
American Journal of Surgery
|December 1, 1987
Summary
A multidisciplinary fetal board reviewed 90 potential fetal conditions over two years. This approach facilitated early diagnosis and counseling for surgical anomalies, improving perinatal management.
Area of Science:
- Perinatology
- Neonatology
- Medical Genetics
- Pediatric Surgery
Background:
- Multidisciplinary fetal boards are crucial for managing complex fetal conditions.
- Early identification and management of fetal anomalies improve outcomes.
Purpose of the Study:
- To evaluate the effectiveness of a multidisciplinary fetal board in diagnosing and managing potential fetal pathologic conditions.
- To assess the impact of this board on perinatal management and parental counseling.
Main Methods:
- A review of 90 potential fetal pathologic cases presented to a multidisciplinary fetal board over two years.
- Monthly meetings included specialists in perinatology, neonatology, genetics, radiology, pathology, pediatric surgery, neurosurgery, and urology.
- Discussion of new referrals, ongoing cases, and findings from delivered cases.
Main Results:
- Surgical diagnoses were made in 71 fetuses (79% of referred cases).
- Central nervous system and genitourinary anomalies were the most common diagnoses.
- The board facilitated timely perinatal management and parental counseling.
Conclusions:
- Formal, multidisciplinary fetal board presentations are effective for managing complex fetal surgical problems.
- Early specialist involvement and counseling improve perinatal care and outcomes for fetuses with anomalies.