Even a single third trimester antenatal fetal screening for congenital anomalies can be life saving.
We report two cases of malrotation with extremely different outcomes based on the availability and non-availability of antenatal scanning. The first one had a single third trimester ultrasound which detected malrotation and helped in saving baby's life whereas the second baby without antenatal screening succumbed to midgut volvulus and its sequelae because of delayed presentation. In developing countries where most of the pregnancies may go unsupervised, a single third trimester scan for fetal anomalies by an experienced sonologist, in areas where routine antenatal screening program has failed or not feasible can help save the baby's life at least in surgically correctable anomalies. This may be an important strategy to reduce the infant mortality rate in the country.
Bawa
Monika
M
Department of Pediatric Surgery, Advanced Pediatric Centre, Postgraduate institute of Medical Education and Research, Chandigarh, India.
Kannan
Narasimhan Laksmi
NL
D000013:Congenital Abnormalities / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis* / Q000601:surgery; D005865:Gestational Age; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control; D011263:Pregnancy Trimester, Third; D011296:Prenatal Diagnosis; D016896:Treatment Outcome