Correlation of prenatal ultrasound and postnatal outcome in meconium peritonitis
Journal
Fetal Diagnosis and Therapy
Journal Volume
18
Journal Issue
4
Pages
255-261
Date Issued
2003
Abstract
Objectives: To study the relationship between prenatal ultrasound features and postnatal course of meconium peritonitis. Methods: Meconium peritonitis was diagnosed by prenatal ultrasound. Fetuses were treated by intrauterine paracentesis of ascites when indicated, and symptomatic newborns received surgery. Results: Totally 17 cases were enrolled. Prenatal ultrasound findings include abdominal calcification (16/17), fetal ascites (12/17), hydramnios (9/17), pseudocyst (7/17) and dilated bowel loop (6/17). Persistent ascites, pseudocyst or dilated bowel loop are most sensitive (92%) to predict postnatal surgery (p = 0.022). The survivors have a higher gestational age at birth (36.4 vs. 33.3 weeks, p = 0.008). Persistent ascites and postnatal persistent pulmonary hypertension of the newborns significantly correlate with neonatal mortality (p = 0.029 and 0.022). Conclusion: Prenatal ultrasound can predict the neonatal outcome in meconium peritonitis. Copyright ? 2003 S. Karger AG, Basel.
SDGs
Other Subjects
adult; article; ascites; calcification; clinical article; controlled study; correlation analysis; female; fetus; fetus echography; fetus surgery; gestational age; human; hydramnios; male; meconium peritonitis; newborn mortality; newborn surgery; outcomes research; paracentesis; pathophysiology; perinatal period; prediction; prenatal diagnosis; priority journal; pseudocyst; pulmonary hypertension; treatment outcome; Adult; Female; Fetal Diseases; Humans; Intestinal Diseases; Male; Meconium; Peritonitis; Pregnancy; Pregnancy Outcome; Prospective Studies; Ultrasonography, Prenatal
Type
journal article