Cesarean delivery for fetal malformations.

Published

Journal Article (Review)

We reviewed existing data on fetal abnormalities to provide guidelines to determine which conditions have an improved neonatal outcome by cesarean delivery. We used Medline database to search for English language papers on a variety of fetal conditions that could influence the mode of delivery. We reviewed these sources with particular attention to how the mode of delivery influenced neonatal outcome. Conflicting data exist regarding optimal mode of delivery for many fetal conditions. Cesarean delivery may improve neonatal outcome for fetuses with isolated meningomyelocele, hydrocephalus with concomitant macrocephaly, anterior wall defects with extracorporeal liver, sacrococcygeal teratomas, hydrops, and alloimmune thrombocytopenia with low platelet count at term. Hydrocephalus without macrocephaly, anterior wall defects without an extracorporeal liver, ovarian cysts, skeletal dysplasias, fetuses whose mothers have immune thrombocytopenic puer-pura and fetuses with alloimmune thrombocytopenia with acceptable platelet counts may safely be delivered vaginally.

Full Text

Duke Authors

Cited Authors

  • Kuller, JA; Katz, VL; Wells, SR; Wright, LN; McMahon, MJ

Published Date

  • June 1996

Published In

Volume / Issue

  • 51 / 6

Start / End Page

  • 371 - 375

PubMed ID

  • 8771576

Pubmed Central ID

  • 8771576

Electronic International Standard Serial Number (EISSN)

  • 1533-9866

International Standard Serial Number (ISSN)

  • 0029-7828

Digital Object Identifier (DOI)

  • 10.1097/00006254-199606000-00022

Language

  • eng