Prenatal diagnosis and management of mild fetal pyelectasis: implications for neonatal outcome and follow-up

Signorelli, M.; Cerri, V.; Taddeï, F.; Groli, C.; Bianchi, Umberto

doi:10.1016/j.ejogrb.2004.04.023

Cited by 65 publications

(53 citation statements)

References 17 publications

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“…10,21 It is now widely accepted that only after two normal renal US (one after 5 days and another at 1 month) can resolution of ANH be entertained. 2,7 Another recommendation commonly made by MFM specialists was to seek postnatal follow-up directly with the urologist. Though this more direct recommendation may have conveyed a greater sense of urgency and importance, it did not result in better compliance.…”

Section: Discussionmentioning

confidence: 99%

“…[25][26] Likely, this reaction is tempered by the notion that the majority of ANH cases will resolve spontaneously before or after birth during the first year of life. [3][4]7 For mothers who have been worrying throughout pregnancy, the sight of a healthy looking infant at birth provides some relief that may be short lived if the asymptomatic infant is required to undergo more testing. 21,25 Our experience at the RPC indicates that lack of communication between those in charge of fetal surveillance and those responsible for maternal and neonatal care unfortunately also occurs.…”

Section: Discussionmentioning

confidence: 99%

“…Many investigators, however, have not mentioned any loss of patients in their ANH programs. [4][5]7,10,14,[19][20] In one-fourth of cases, our MFM specialists recommended follow-up after birth with their pediatrician. As suggested by our data, half of these infants were deemed to be healthy and no postnatal renal US or other consultations were done.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4]7 After 34 weeks of gestation, severity of ANH was defined as mild (7 to 9 mm), moderate (10 to 14 mm) or severe (X15 mm).…”

Section: Introductionmentioning

confidence: 99%

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Postnatal follow-up of antenatal hydronephrosis: a health-care challenge

et al. 2009

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Objective: To examine our experience with ANH and to determine the success of our postnatal follow-up program.Study Design: Charts of mothers and infants seen (2004 to 2008) at our Regional Perinatal Center were reviewed retrospectively. ANH was defined during the third trimester by anterior pelvic diameters as follows: mild 7 to 9, moderate 10 to 14 or severe X15 mm. Fetuses with multicystic dysplastic kidney (MCDK) were included. Result:Screening of approximately 15 000 ultrasound (US) reports identified 268 fetuses with ANH. After prenatal US surveillance, 88 (33%) fetuses had resolved, while 180 (67%) required postnatal follow-up. These 180 fetuses were diagnosed with mild 38 (21%), moderate 83 (46%) and severe 19 (11%) ANH, uni or bilateral hydroureters 12 (7%), MCDK 19 (10%) and miscellaneous 9 (5%). Postnatal follow-up was successfully established for 75% of infants with hydroureters, 68% for those with MCDK and for 37% of infants with mild, 53% with moderate and 58% with severe ANH. Factors commonly known to influence compliance were not found more frequently among the 91 infants who were lost to follow-up. The only positive predictor for postnatal follow-up was a prenatal consultation with the pediatric urologist. 1-4 The majority of these fetuses recover spontaneously but approximately 40% require postnatal follow-up, and in half of these cases, medical or surgical intervention was needed to prevent significant renal damage. The spectrum of genitourinary abnormalities detected antenatally is varied but the majority of patients have ANH.5 It is commonly accepted that no specific etiology can be identified in 48% of ANH cases.1-5 Physiologic changes are seen in 15%, ureteropelvic and ureterovesical junction obstructions account for 11% of the cases, 9% have vesicoureteral reflux, 4% have unilateral or bilateral megaloureters, 2% of all cases have multicystic dysplastic kidney (MCDK) and 1% have ureterocele. 1,3,6 Regardless of the cause, it is expected that about half of the ANH cases will resolve before delivery or during the first year of life. 2,6 For the other half there will be a need for postnatal follow-up as persistent uropathy is expected to occur in 12% of mild, 45% of moderate and 88% of severe ANH cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4]7 After 34 weeks of gestation, severity of ANH was defined as mild (7 to 9 mm), moderate (10 to 14 mm) or severe (X15 mm).…”

Section: Introductionmentioning

confidence: 99%

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Postnatal follow-up of antenatal hydronephrosis: a health-care challenge

et al. 2009

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“…Many investigators report the use of repeat examinations periodically during the antenatal period [5] . At least one retrospective investigation suggested that a second US later in the pregnancy that has stable or reduced moderate ANH (APD < 10) near uniformly predicts eventual resolution without surgical intervention [7] . Additional prospective investigations into the prognostic value of repeated prenatal measures of APD may prove useful in reducing the need for postnatal evaluation.…”

Section: Table1mentioning

confidence: 99%

Ultrasonographic Evaluation of Foetal Hydronephrosis

Verghes¹

2017

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Current awareness in prenatal diagnosis

2005

Prenat. Diagn.

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of prenatal diagnosis. Each bibliography is divided into 17 sections: 1 Books, Reviews & Symposia; 2 General Interest; 3 Normal Fetal Development; 4 Gametogenesis and Pre‐implantation Diagnosis; 5 First Trimester Diagnosis; 6 Second Trimester Diagnosis; 7 Fetal Diagnosis by Ultrasound and Other Imaging; 8 Maternal Screening; 9 Screening for Carriers of Genetic Abnormality; 10 Technological Developments; 11 Confined Placental Mosaicism and Uniparental Disomy; 12 Molecular Cytogenetics; 13 Fetal Cells in Maternal Circulation; 14 Fetal Therapy; 15 Psychosocial Aspects; 16 Epidemiology and Environmental Factors; 17 Developmental Pathology. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted

show abstract

Prenatal diagnosis and management of mild fetal pyelectasis: implications for neonatal outcome and follow-up

Cited by 65 publications

References 17 publications

Postnatal follow-up of antenatal hydronephrosis: a health-care challenge

Postnatal follow-up of antenatal hydronephrosis: a health-care challenge

Ultrasonographic Evaluation of Foetal Hydronephrosis

Current awareness in prenatal diagnosis

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