Avaliação ultra-sonográfica da hidrocefalia fetal: associação com mortalidade perinatal

Hortêncio, Ana Paula Brito; Landim, Emanuel Rocha; Nogueira, Marcelo Bezerra; Feitosa, Francisco Edson de Lucena; Júnior, Carlos Augusto Alencar

doi:10.1590/s0100-72032001000600007

Cited by 4 publications

(6 citation statements)

References 11 publications

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“…The neonatal mortality was 18% in the group with NTD, similar to that of previous reports (7-21%) [15][16][17] . The neonatal mortality was 35% in the group without NTD which is also in agreement with findings reported in the literature (21-38%) [10,12,14,24] . There seems to be a nonsignificant (probably due to the small sample size) trend suggesting that intrauterine death (19 vs. 7%) and death during the 1st year of life (35 vs. 18%) are more frequent in the group without NTD in comparison with the group with NTD.…”

Section: Discussionsupporting

confidence: 92%

Severe Fetal Hydrocephalus with and without Neural Tube Defect: A Comparative Study

Schlatter

Sanseverino²,

Schmitt³

et al. 2007

Fetal Diagn Ther

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Objective: To describe the main perinatal and 1-year outcomes in babies with a prenatal ultrasonographic diagnosis of severe hydrocephalus according to the presence or absence of a neural tube defect (NTD) in a country where abortion is illegal. Method: The study population consisted of cases referred to and delivered at Hospital de Clínicas de Porto Alegre, diagnosed between January 1993 and December 2001. The diagnosis of severe hydrocephalus was based on a lateral ventricular atrium diameter ≧15 mm in at least one hemisphere. Results: Sixty cases were ascertained: 28 with NTD (group 1) and 32 without NTD (group 2). The groups were similar in terms of maternal and child variables at birth and hospitalization days during the 1st year of life. The mortality (including intrauterine deaths and deaths of babies with malformations incompatible with life that characterize a very poor prognosis) until 1 year of age was 36% in group 1 and 59% in group 2 (p = 0.077). The rate of cardiac malformations was higher in the group without NTD (p = 0.015). The length of hospital stay after birth (1st admission) was significantly higher in the group with NTD (p = 0.007). Conclusions: The morbidity was higher in the group with NTD, possibly due to the higher number of surgical interventions in the central nervous system. However, the mortality was higher in the group without NTD, possibly due to the presence of other associated malformations, especially congenital heart disease. Further studies should focus on neurological function and quality of life of the children and their families at the end of the 1st year and after 2 or 6 years of age.

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Section: Discussionsupporting

confidence: 92%

Severe Fetal Hydrocephalus with and without Neural Tube Defect: A Comparative Study

Schlatter

Sanseverino²,

Schmitt³

et al. 2007

Fetal Diagn Ther

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“…The two major dilemmas faced by families of children with congenital defects: the first is to doctors informing the parents that the problem exists; the second involves the uncertainty of disease progression during the course of pregnancy and after childbirth due to the complexity of the disease [12]. The diagnosis about the abnormality initially results in a shift in expectations and increased anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis about the abnormality initially results in a shift in expectations and increased anxiety. Parents need clear information because the way the family reacts to the diagnosis and interacts with the affected children is crucial to their welfare [12], [23].…”

Section: Discussionmentioning

confidence: 99%

“…These tests can verify the presence of ventriculomegaly and other malformations when performed after 15 weeks of gestation [10], [11]. Despite, some authors believe that ultrasound examinations do not improve fetal prognosis [12], [13], the medical literature is unanimous in stating that the fetal ultrasound facilitates the diagnosis of hydrocephalus. This examination allows early diagnosis of fetal anomalies and has been used as a primary diagnostic method for screening congenital malformations [10], [11], [14], [15].…”

Section: Hydrocephalus Diagnosismentioning

confidence: 99%

“…It is of fundamental importance because it allows families to learn about potential complications of the disease [12], [16]. In addition to the ultrasound examination, prenatal diagnoses of hydrocephalus can be made using laboratory tests measuring the level of acetylcholinesterase, the amount of alpha-fetoprotein in maternal blood or amniotic fluid.…”

Section: Hydrocephalus Diagnosismentioning

confidence: 99%

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Mothers of Children with Hydrocephalus: Aspects about Prenatal Care

Oliveira¹,

Pereira²,

Freitas³

2012

PHR

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Hydrocephalus is a major cause of infant morbidity and mortality. Early diagnosis of hydrocephalus gives families more time to prepare to cope with their children's conditions. This study aimed to describe aspects about the prenatal care received in relation to time of pregnancy among mothers of children with hydrocephalus. The study was conducted with 54 mothers of children with congenital hydrocephalus in the Clinic of Neurosurgery at University Hospital in northeast Brazil. Fifty-one mothers received prenatal care (94.4%); 44 (81.5%) had not taken the folic acid. Four (7.8%) mothers visited during the first month of pregnancy, forty (78.4%) had their first visit after the fourth month of pregnancy. Despite their adherence to prenatal care, most of the mothers had their first visit after the fourth month of pregnancy. Strategies that encourage prenatal care as early as possible in the pregnancy should be implemented.

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Apego materno-fetal e indicadores emocionais em gestantes de baixo e alto risco: um estudo comparativo

Zeoti¹

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Dedico este trabalho Às mães participantes desta pesquisa, por permitirem que eu conhecesse o que sentiam em um momento tão precioso de suas vidas. E a todas as mães que se alegram, mesmo nas adversidades, simplesmente pelo fato de serem mães. A meus pais, Nelson e Maíse, que jamais fraquejaram em seu projeto de fazerem o melhor por mim e a cada dia se esforçam em fazerem mais, amando-me, respeitando-me e me incentivando sempre. Eterno amor, gratidão e admiração. Louvo a Deus pela família que Ele me deu. Ao meu marido, Flávio, que em momento algum me desamparou ou menosprezou os meus sonhos. Aliás, ele fez dos meus os nossos sonhos. Meu amor, meu agradecimento e meu orgulho. Agradecimentos A Deus, que até aqui tem-me sustentado! Por permitir que a vida sempre se renove na forma de uma criança, ensinando-nos a amar e respeitar o ser humano. À Bia, Profª Drª Eucia Beatriz Lopes Petean, minha orientadora querida, que há 10 anos vem-me ensinando, com paciência, dedicação e carinho, o amor à pesquisa e a seriedade no trabalho, permitindo que eu continue sempre compartilhando os mesmos sonhos seus. Aos meus familiares amados, os 'Leite', os 'Saviani' e os 'Silva' por tanto amor, que durante toda a vida me dedicaram e dedicam e por acreditarem sempre em mim. Aos do meu pequeno núcleo Zeoti, por me amarem como um deles e por me ensinarem ricas lições de perseverança e superação todo o tempo. Ao Prof. Dr. Francisco Mauad Filho que, com um carinho imenso, me abriu os braços e as portas de sua Escola, acreditando no meu trabalho. À Profª Drª Valéria Barbieri, presente em toda minha vida acadêmica, nos momentos mais importantes, sendo um exemplo que sempre seguirei, com certeza. Aos amigos Sebastiana, Marina, Rosângela e Tadeu, pois sem vocês este trabalho não chegaria ao papel. Aos meus amigos, todos eles, de todos os lugares... que todos os dias me animam e estimulam com sua torcida e admiração. Os amigos são uma preciosidade de Deus. Aos funcionários, professores e monitores da Escola de Ultra-Sonografia e Reciclagem Médica de Ribeirão Preto (EURP), que não me negaram atenção e carinho em qualquer momento. A todos os professores, técnicos e funcionários da FFCLRP-USP, que estiveram presentes na minha trajetória até aqui, pelo carinho e incentivo constantes. À CAPES, pelo apoio financeiro que tanto me ajudou no desenvolvimento da pesquisa. À USP, pelos anos de crescimento profissional e pessoal. RESUMO ZEOTI, F.S. Apego materno-fetal e indicadores emocionais em gestantes de baixo e alto risco: um estudo comparativo. 2011. 146 f. Tese (Doutorado)-Faculdade de Filosofia,

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Avaliação ultra-sonográfica da hidrocefalia fetal: associação com mortalidade perinatal

Cited by 4 publications

References 11 publications

Severe Fetal Hydrocephalus with and without Neural Tube Defect: A Comparative Study

Severe Fetal Hydrocephalus with and without Neural Tube Defect: A Comparative Study

Mothers of Children with Hydrocephalus: Aspects about Prenatal Care

Apego materno-fetal e indicadores emocionais em gestantes de baixo e alto risco: um estudo comparativo

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