“…While the majority of cases of BWS are diagnosed after birth on the basis of physical exam findings, fewer than 20 cases in the literature were diagnosed prenatally (Weinstein and Anderson, 1980;Shapiro et al, 1982;Nivelon-Chevallier et al, 1983;Grundy et al, 1985;Koontz et al, 1986;Winter et al, 1986;Cobellis et al, 1988;Lodeiro et al, 1989;Meizner et al, 1989;Wieacker et al, 1989;Shah and Metlay, 1990;Viljoen et al, 1991;Hewitt and Bankier, 1994;Nowotny et al, 1994;Whisson et al, 1994;Harker et al, 1997;Ranzini et al, 1997;Fert-Ferrer et al, 2000;Hamada et al, 2001). However, prenatal identification and diagnosis have become increasingly important in pregnancy counseling-in light of the burden of increased malignancy risk, large size, and the unusual phenotype; determining proper mode of delivery; managing potentially fatal neonatal issues, including airway obstruction, respiratory distress, hypoglycemia, and congestive heart failure (mortality as high as 21% (Pettenati et al, 1986)); and in counseling and testing family members.…”