Nonimmune Hydrops Fetalis

Nonimmune hydrops fetalis (NIHF) historically has been considered a lethal fetal condition. Understanding NIHF to be a symptom or an end-stage status of a variety of fetal conditions, along with improved fetal diagnostics and interventions, has changed the landscape for at least some fetuses. Understanding the pathophysiologic mechanisms has led to the development of diagnostic algorithms, improved understanding of cause, and therefore fetal or neonatal treatments. Multidisciplinary counseling and shared decision making are critical to supporting families through pregnancy decisions, potential fetal therapeutic interventions, neonatal management decisions, and at times accepting or transitioning to palliative care.
Source: Clinics in Perinatology - Category: Perinatology & Neonatology Authors: Source Type: research

Related Links:

Source: Therapeutics and Clinical Risk Management - Category: Drugs & Pharmacology Tags: HIV/AIDS - Research and Palliative Care Source Type: research
UNFPA-supported midwives ensured that this young woman gave birth safely in Bor Hospital, South Sudan. © UNFPA South SudanBy Julitta OnabanjoJOHANNESBURG, South Africa, Nov 12 2019 (IPS) This is a special year for all rights-based health advocates, as we celebrate 25 years of the International Conference on Population and Development (ICPD). At the ICPD in Cairo in 1994, for the first time world leaders from 179 member states committed to the principles that underpin today’s Sustainable Development Goals: non-discrimination and universality; the centrality of health, including sexual and reproductive health and...
Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Africa Gender Headlines Health Population Poverty & SDGs TerraViva United Nations ICPD25 International Conference on Population and Development (ICPD25) Source Type: news
Purpose of review The implementation of palliative care at birth has led to a significant rise in the number of couples who choose to continue with pregnancies complicated by life-limiting malformations (LLMs). Prenatal counselling and appropriate antenatal/perinatal management in these cases are poorly studied and may pose significant challenges. The purpose of this review is to outline specific obstetric risks and to suggest management for mothers who choose to continue with pregnancies with the most common LLMs. Recent findings In pregnancies complicated by LLMs where parents opt for expectant management, clinician...
Source: Current Opinion in Obstetrics and Gynecology - Category: OBGYN Tags: WOMEN'S HEALTH: Edited by Joseph Aquilina Source Type: research
There are so many new updates to The Right to Die: The Law of End-of-Life Decisionmaking (Wolters Kluwer 2020). Here are some of them:Idaho’s first reported judicial decision on end-of-life decision making, finding the Idaho advance directive statute constitutional as it applies to pregnant women. An appellate ruling in California upholding most of the interdisciplinary team approach to medical decision making for unbefriended patients in long-term care facilities.  Promulgation of federal regulations that expand and protect statutory conscience rights in health care, including with respect to advance direc...
Source: blog.bioethics.net - Category: Medical Ethics Authors: Tags: Health Care syndicated Source Type: blogs
Abstract Obstetricians and general surgeons frequently navigate the challenges of providing surgical care that is mindful of the unique circumstances of pregnancy. Ensuring pregnant patients have high-quality surgical care is an ethical imperative. Providers should maintain a high index of suspicion for surgical disease to ensure that surgical diagnoses are not missed or inadequately treated. A variety of imaging modalities are used in pregnancy. Surgical management includes laparoscopic and open approaches. Perioperative fetal monitoring should be the subject of multidisciplinary discussion. Symptomatic control i...
Source: The Surgical Clinics of North America - Category: Surgery Authors: Tags: Surg Clin North Am Source Type: research
Authors: Abstract Perinatal palliative care refers to a coordinated care strategy that comprises options for obstetric and newborn care that include a focus on maximizing quality of life and comfort for newborns with a variety of conditions considered to be life-limiting in early infancy. With a dual focus on ameliorating suffering and honoring patient values, perinatal palliative care can be provided concurrently with life-prolonging treatment. The focus of this document, however, involves the provision of exclusively palliative care without intent to prolong life in the context of a life-limiting condition, oth...
Source: Obstetrics and Gynecology - Category: OBGYN Tags: Obstet Gynecol Source Type: research
Authors: Abstract Perinatal palliative care refers to a coordinated care strategy that comprises options for obstetric and newborn care that include a focus on maximizing quality of life and comfort for newborns with a variety of conditions considered to be life-limiting in early infancy. With a dual focus on ameliorating suffering and honoring patient values, perinatal palliative care can be provided concurrently with life-prolonging treatment. The focus of this document, however, involves the provision of exclusively palliative care without intent to prolong life in the context of a life-limiting condition, oth...
Source: Obstetrics and Gynecology - Category: OBGYN Tags: Obstet Gynecol Source Type: research
Obstetricians and general surgeons frequently navigate the challenges of providing surgical care that is mindful of the unique circumstances of pregnancy. Ensuring pregnant patients have high-quality surgical care is an ethical imperative. Providers should maintain a high index of suspicion for surgical disease to ensure that surgical diagnoses are not missed or inadequately treated. A variety of imaging modalities are used in pregnancy. Surgical management includes laparoscopic and open approaches. Perioperative fetal monitoring should be the subject of multidisciplinary discussion. Symptomatic control in pregnancy should...
Source: Surgical Clinics of North America - Category: Surgery Authors: Source Type: research
This study describes the overall outcome in a country where the therapeutic interruption of pregnancy is not available. The medical records of women with prenatal diagnosis of full trisomy of T13 or T18 between October 1994 and October 2017 were analyzed in order to describe their natural outcomes. Thirteen cases of T13 and 29 cases of T18 were included. The miscarriage rate was 9% for T18 and no cases for T13. Intrauterine fetal death occurred in 46% and 52% of cases for T13 and T18, respectively. The rate of live births for T13 was 54%, and the median survival was one day (95% CI -33.55 - 90.40) and 71% died in the first...
Source: Genetics and Molecular Biology - Category: Genetics & Stem Cells Source Type: research
The survival of those born with a single ventricle has improved dramatically over the past 50  years, largely as a result of the widespread use of the Fontan operation and more recently refinements in staging of the palliative surgery pathway. As a result the average age of people with a Fontan circulation is increasing, [1] and many more women are entering their child bearing years. Despi te a significant physical and psychosocial burden, many aspire to parenthood and this number will increase over the coming years.
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Editorial Source Type: research
More News: Palliative | Palliative Care | Perinatology & Neonatology | Pregnancy