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Three cases of nonimmune hydrops fetalis.

Journal of the Korean Pediatric Society 1991;34(5):691-699.
Published online May 31, 1991.
Three cases of nonimmune hydrops fetalis.
Young Youn Choi1, Jae Sook Ma1, Tai Ju Hwang1, Tae Bok Song2
1Department of Pediatrics, Chonnam University Medical School, Kwangju, Korea
2Department of OB & GY, Chonnam University Medical School, Kwangju, Korea
비면역성 태아수종 3례
최영륜1, 마재숙1, 황태주1, 송태복2
1전남대학교 의과대학 소아과학교실
2전남대학교 의과대학 산부인과학교실
Received: 22 October 1990   • Accepted: 8 January 1991
Abstract
Nonimmune hydrops fetalis is defined as a pathologic and generalized abnormal accumulation of serous fluid in the entire body tissues and cavities unassociated with erythroblastosis. After the licensing of Rh Immune Prophylaxis (1968), the incidence of classic erythroblastosis fetalis has declined dramatically but the proportion of nonimmune types has increased relatively. With increasing use of ultrasound as a part of routine obstetric care, fetal hydrops can be diagnosed safely and precisely early in pregnancy. At birth various factors such as gross edema, pleural effusion, ascites and associated lung hypoplasia may complicate the resuscitation of the affected newborns. Good management should include the interaction of the obstetrician, the ultrasonologist, the neonatologist, the pathologist and the medical geneticist. This report is to attract more clinical attention to this condition, contributing the improvements in survivals after birth and to ascertain the causative condition for aid in subsequent pregnancies.
Key Words: Nonimmune Hydrops Fetalis, Ultrasound, Gross Edema, Pleural Effusion, Ascites


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