Who needs prenatal counselling with a pediatric surgeon? Experience from a large tertiary care university hospital-Reference-Cited by-同舟云学术

Who needs prenatal counselling with a pediatric surgeon? Experience from a large tertiary care university hospital

Published:2022-01-17 Issue:4 Volume:50 Page:419-426
ISSN:0300-5577
Container-title:Journal of Perinatal Medicine
language:en
Short-container-title:

Author:

Froeliger Alizée¹^ORCID,Harper Luke²,Tunon de Lara Sara²,Lavrand Frédéric²,Loot Maya²,Lefevre Yan²,Sentilhes Loïc¹,Coatleven Frédéric¹,Dobremez Éric²

Affiliation:

1. Department of Gynecology and Obstetrics , Bordeaux University Hospital , Bordeaux , France

2. Department of Pediatric Surgery , Bordeaux University Hospital , Bordeaux , France

Abstract

Abstract Objectives To describe our experience with prenatal counselling for surgical anomalies in a large volume center. The secondary aim is to suggest a list of prenatal abnormalities warranting counselling by a pediatric surgeon. Methods We reviewed all prenatal counselling consultations performed by the pediatric surgery team between January 1st, 2015 and December 31st, 2016. Results A total of 169 patients or couples had a prenatal consultation with a pediatric surgeon. Prenatal work-up included a fetal MRI in 26% of cases, mainly for digestive and thoracic pathologies (56.1% of cases). Consultation with the pediatric surgeon led mainly to recommendations concerning the place of delivery. Induction for reasons related to the fetal anomaly occurred in 22.2% of cases. Most children were surgically treated within the first year of life (63.5%). Correlation between predicted prognosis and actual status at four years of life was 96.9%. Correlation between prenatal and postnatal diagnosis was 87.4%. Conclusions Prenatal counselling by a pediatric surgeon allows couples to obtain clear information on the pathology of their unborn child, giving them greater autonomy in their decision to continue the pregnancy.

Publisher

Walter de Gruyter GmbH

Subject

Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health

Link

https://www.degruyter.com/document/doi/10.1515/jpm-2021-0130/pdf

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