Skip to main content

Prenatal Diagnosis and Obstetric Management

  • Chapter
  • First Online:
Pediatric Digestive Surgery
  • 1260 Accesses

Abstract

In Europe ultrasound examinations are commonly performed in virtually all pregnancies, usually between 11 and 13 weeks’ gestation and 20 weeks’ gestation [1]. One of the main objectives of these investigations is the detection of fetal anomalies. The uptake of anomalies is variable in different studies, and indeed, the value of universal screening for anatomic malformations is debated [1–3]. The detection rate much varies depending upon different factors and the affected organs in particular. Sonographic investigation of the fetal gastrointestinal tract suffers from many limitations mostly because the fetal bowel is almost completely empty in early gestation. Furthermore, the esophagus and anorectal tract are incompletely seen. As a consequence of this, most intestinal obstructions are not identified until late in gestation or even after birth (Fig. 1.1).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Salomon LJ, Alfirevic Z, Berghella V, Bilardo C, Hernandez-Andrade E, Johnsen SL, Kalache K, Leung KY, Malinger G, Munoz H, Prefumo F, Toi A, Lee W, Committee ICS (2011) Practice guidelines for performance of the routine mid-trimester fetal ultrasound scan. Ultrasound Obstet Gynecol Off J Inter Soc Ultrasound Obstet Gynecol 37(1):116–126

    Article  CAS  Google Scholar 

  2. Ewigman BG, Crane JP, Frigoletto FD, LeFevre ML, Bain RP, McNellis D (1993) Effect of prenatal ultrasound screening on perinatal outcome. RADIUS Study Group. N Engl J Med 329(12):821–827

    Article  CAS  PubMed  Google Scholar 

  3. Grandjean H, Larroque D, Levi S (1999) The performance of routine ultrasonographic screening of pregnancies in the Eurofetus Study. Am J Obstet Gynecol 181(2):446–454

    Article  CAS  PubMed  Google Scholar 

  4. Spaggiari E, Faure G, Rousseau V, Sonigo P, Millischer-Bellaiche AE, Kermorvant-Duchemin E, Muller F, Czerkiewicz I, Ville Y, Salomon LJ (2015) Performance of prenatal diagnosis in esophageal atresia. Prenat Diagn 35(9):888–893

    Article  PubMed  Google Scholar 

  5. Tonni G, Grisolia G, Granese R, Giacobbe A, Napolitano M, Passos JP, Araujo E Jr (2015) Prenatal diagnosis of gastric and small bowel atresia: a case series and review of the literature. J Matern Fetal Neonatal Med Off J Eur Assoc Perinatal Med Federation Asia Oceania Perinatal Soc Inter Soc Perinatal Obstet 23:1–9

    Article  Google Scholar 

  6. Catania VD, Briganti V, Di Giacomo V, Miele V, Signore F, de Waure C, Calabro GE, Calisti A (2016) Fetal intra-abdominal cysts: accuracy and predictive value of prenatal ultrasound. J Matern Fetal Neonatal Med Off J Eur Assoc Perinatal Med Federation Asia Oceania Perinatal Soc Inter Soc Perinatal Obstet 29(10):1691–1699

    Article  Google Scholar 

  7. Perlman S, Bilik R, Leibovitch L, Katorza E, Achiron R, Gilboa Y (2014) More than a gut feeling – sonographic prenatal diagnosis of imperforate anus in a high-risk population. Prenat Diagn 34(13):1307–1311

    Article  PubMed  Google Scholar 

  8. Valeri BO, Holsti L, Linhares MB (2015) Neonatal pain and developmental outcomes in children born preterm: a systematic review. Clin J Pain 31(4):355–362

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gianluigi Pilu .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Pilu, G. (2017). Prenatal Diagnosis and Obstetric Management. In: Lima, M. (eds) Pediatric Digestive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-40525-4_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-40525-4_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40523-0

  • Online ISBN: 978-3-319-40525-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics