Congenital abdominal wall defects

Background A 24-year-old Caucasian, nulliparous woman had an abnormal antenatal ultrasound scan at 14 weeks gestation (see figure 1). A repeat scan at 20 weeks confirmed the findings. A fetomaternal medicine consultant counselled parents. At 33+5 weeks gestation, she delivered a 1.9 kg male infant by caesarean section for fetal distress following spontaneous preterm labour. QUESTION 1 What is the anomaly seen? A. Bladder exstrophy B. Abdominal wall defect C. Umbilical hernia You are the paediatric registrar on call and have been called to attend the delivery of the baby. You arrive with the neonatal team. A pink, crying baby is brought to the resuscitaire (see figure 2). No scars or other anomalies are visible. QUESTION 2 What would be your next course of action? A. Baby to remain with mother and allowed to feed B. Admit to neonatal intensive care unit (NICU)...
Source: Archives of Disease in Childhood - Education and Practice - Category: Pediatrics Authors: Tags: Obstetrics and gynaecology, Urology, Drugs: infectious diseases, Pregnancy, Reproductive medicine, Neonatal and paediatric intensive care, Radiology, Renal medicine, Neonatal intensive care, Clinical diagnostic tests, Radiology (diagnostics) Epilogue Source Type: research