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Opportunities for intrauterine correction of fetal malformations.

Pregnancy
Dr Zofia Polska

You can read this text in 9 min.

The enormous progress that has been made in prenatal medicine in recent years has resulted in the emergence of a number of new diagnostic and therapeutic methods that allow increasingly early detection and treatment of many fetal malformations - treatment in utero, i.e. before birth.

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Fetal surgery carries a very high risk of a number of postoperative complications for both mother and foetus. The most common complications of such specific operations are premature births, premature rupture of the fetal bladder and all the consequences thereof, i.e. intrauterine infection, thrombocephaly, fetal pulmonary oedema, intrauterine fetal necrosis and others. A pregnancy during which intrauterine correction of a foetal defect has been performed is terminated by caesarean section. This places an additional burden on the mother, as two operations are required in a short period of time.

It should be noted that fetal operations are not yet routinely performed. Both in the world and in Poland, such operations are still performed relatively rarely, as they still require a great deal of research and long observations in order to become safe and beneficial enough to use this method of treatment much more frequently. They require considerable improvement, as well as the development of appropriate surgical techniques and guidelines for the management of the pregnant woman in the pre- and post-operative period. With the passage of time and as a result of further advances in the field of fetology, the list of defects eligible for intrauterine intervention will probably become longer and longer, and the operations will carry less and less risk of failure.
The pioneering intrauterine fetal surgeries that are being carried out promise to be very promising and in the future may offer hope for a significant alleviation of disease symptoms in children with structural defects.
Crucially, these procedures give hope to parents-to-be that their child will be fully healthy and that they will be able to enjoy motherhood to the full. By agreeing to the procedure, they feel that they have done everything possible and that the doctors have used all the advances in medicine to give their child the chance of a normal life in the future.
You can find out more about the operation to close a spinal hernia at the Bytom Clinic here:
http://www.forumginekologiczne.pl/md.php?name=mtxt&file=article&sid=2143&m=0
and on the website of the Clinic www.ginbytom.slam.katowice.pl
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Defect-development Operation Procedure
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