胎儿水肿
医学
胎儿
心理干预
重症监护医学
怀孕
产科
多学科团队
护理部
遗传学
生物
作者
Corinne Swearingen,Zachary Colvin,Steven R. Leuthner
标识
DOI:10.1016/j.clp.2019.10.001
摘要
Nonimmune hydrops fetalis (NIHF) historically has been considered a lethal fetal condition. Understanding NIHF to be a symptom or an end-stage status of a variety of fetal conditions, along with improved fetal diagnostics and interventions, has changed the landscape for at least some fetuses. Understanding the pathophysiologic mechanisms has led to the development of diagnostic algorithms, improved understanding of cause, and therefore fetal or neonatal treatments. Multidisciplinary counseling and shared decision making are critical to supporting families through pregnancy decisions, potential fetal therapeutic interventions, neonatal management decisions, and at times accepting or transitioning to palliative care.
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