Twenty-one cases of nonimmune hydrops fetalis diagnosed at the Medical College of Georgia during a 2year period are presented. All fetuses satisfied strict diagnostic criteria and were evaluated according to a standard protocol. The corrected mortality rate was 95% with pulmonary hypoplasia being the most common cause of perinatal death. The mean gestational age at diagnosis was 24.8 weeks; in 57% of the cases the cause of nonimmune hydrops fetalis was identified. Fifteen fetuses had serial ultrasound assessment and in 19 cases postnatal evaluation was performed. Two factors that consistently conveyed a poor perinatal outcome were ultrasonographic evidence of malformation and/or the presence of persistent pleural effusions. A method for the quantification of fetal pleural effusions is presented and its clinical relevance is discussed.
|Original language||English (US)|
|Number of pages||5|
|Journal||American Journal of Obstetrics and Gynecology|
|State||Published - Jan 1 1986|
- pleural effusions
ASJC Scopus subject areas
- Obstetrics and Gynecology