[Nonimmunological hydrops fetalis. Experience with 33 cases].
A retrospective study of all perinatal autopsies done during 11 years at hospital SBA showed 33 cases of nonimmunologic fetal hydrops (1.83% of all perinatal autopsies). The incidence was 1/3624 liveborn babies. Intrauterine fetal infections and chromosome genetic abnormalities accounted for 27.3% each; and in 15.2% of the cases some pathology of pregnancy was identified (including twining). All the cases showed severe anemia and in 58% of them pulmonary hypoplasia was identified. Moreover 31% of the cases showed renal hypoplasia. A placenta megaly was identified in 100% of the cases studied. The three most important mechanisms associate with the genesis of nonimmune fetal hydrops are: chronic intrauterine anemia, hypoproteinemia and intrauterine fetal heart failure.
Aspillaga
C
C
Departamento de Obstetricia y Ginecología y Neonatología, Hospital San Borja Arriarán, Universidad de Chile.
Las Heras
J
J
Kakarieka
E
E
D000293:Adolescent; D000328:Adult; D002869:Chromosome Aberrations; D025063:Chromosome Disorders; D005260:Female; D006801:Humans; D015160:Hydrops Fetalis / Q000209:etiology / Q000473:pathology; D008297:Male; D011247:Pregnancy; D012189:Retrospective Studies; D012203:Rh Isoimmunization / Q000150:complications
Hidrops fetal no immunológico. Experiencia de 33 casos.