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Aim- to investigate how prenatal diagnosis of fetal esophageal or intestinal atresia impacts obstetric and neonatal outcomes.
Methods- This was a retrospective cohort study at a single center. The study population comprised 51 consecutive pregnancies, including 29 mothers (57%) and their fetuses affected by prenatally diagnosed fetal esophageal or intestinal atresia, and 22 mothers (43%) and their babies with postnatally diagnosed fetal esophageal or intestinal atresia.
Aim- to investigate how prenatal diagnosis of fetal esophageal or intestinal atresia impacts obstetric and neonatal outcomes.
Methods- This was a retrospective cohort study at a single center. The study population comprised 51 consecutive participants, including 29 mothers (57%) and their fetuses affected by prenatally diagnosed fetal esophageal or intestinal atresia, and 22 mothers (43%) and their babies with postnatally diagnosed fetal esophageal or intestinal atresia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| prenatal | patients affected by confirmed fetal esophageal, duodenal or intestinal atresia and followed in our high-risk pregnancy unit, and scheduled for delivery between 38 and 39 weeks in our tertiary center, regardless of the patient's place of residence |
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| postnatal | patients with unsuspected fetal atresia who delivered in their local hospitals: their newborns were transferred to our tertiary hospital within 24 hours and the mother had the option to be also transferred in order to follow her baby. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| scheduled delivery at a tertiary center | Procedure | Neonatal units in French hospitals are classified in three levels. The intention is for infants requiring high level care to receive it in a tertiary neonatal unit within the same network when appropriate. In case of known fetal gastro-intestinal artesia, the prenatal care includes obstetric consultation and level 3 ultrasound scheduled every four weeks at our unit until the end of the pregnancy, antenatal consultations with a specialized multidisciplinary team, and an antenatal visit of the birth center to reduce the parental anxiety. |
| Measure | Description | Time Frame |
|---|---|---|
| gestational age of delivery | weeks | 1 year |
| mode of delivery | Vaginal, Operative vaginal, Elective cesarean section, Cesarean section for fetal indication | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| neonatal morbidity | Age at surgery, Cutaneous stoma, Anastomotic leakage, Mechanical ventilation, Phototherapy, Infection | 1 year |
| length of hospital stay | Length of neonatal intensive care unit stay, Length of neonatal reanimation stay (days) |
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Inclusion Criteria:
Exclusion Criteria:
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51 mother-baby pairs
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier Universitaire de Poitiers | Poitiers | 86000 | France |
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| 1 year |