Gasser El Bishry1. 1. Royal Victoria Infirmary Newcastle upon Tyne, University Hospital of North Durham, North Road, Durham DH1 4LT, United Kingdom. Gasser.elbishry@cddah.nhs.uk
Abstract
OBJECTIVE: To describe the outcome of pregnancies complicated by isolated fetal ascites. STUDY DESIGN: This is a review of 12 cases of isolated fetal ascites managed at the fetal medicine unit at the Royal Victoria Infirmary in Newcastle. The work-up for ascites included detailed ultrasound examination, checking maternal blood group and testing for the presence of antibodies, as well as maternal infection screening and fetal karyotyping. RESULTS: Ten out of the 12 pregnancies had a viable fetal outcome, with two babies (20%) requiring further bowel surgery. Ascites resolved spontaneously in three pregnancies (30%) antenatally and in two babies (20%) few weeks after delivery. CONCLUSION: Isolated fetal ascites with normal karyotype and negative infection screen carries a good prognosis, with spontaneous resolution in most of the cases. However the parents should be counselled as regards the possibility of need for surgery or the presence of underlying syndromes.
OBJECTIVE: To describe the outcome of pregnancies complicated by isolated fetal ascites. STUDY DESIGN: This is a review of 12 cases of isolated fetal ascites managed at the fetal medicine unit at the Royal Victoria Infirmary in Newcastle. The work-up for ascites included detailed ultrasound examination, checking maternal blood group and testing for the presence of antibodies, as well as maternal infection screening and fetal karyotyping. RESULTS: Ten out of the 12 pregnancies had a viable fetal outcome, with two babies (20%) requiring further bowel surgery. Ascites resolved spontaneously in three pregnancies (30%) antenatally and in two babies (20%) few weeks after delivery. CONCLUSION: Isolated fetal ascites with normal karyotype and negative infection screen carries a good prognosis, with spontaneous resolution in most of the cases. However the parents should be counselled as regards the possibility of need for surgery or the presence of underlying syndromes.