title: [Intrauterine therapy for nonimmune hydrops fetalis (NIHF)--analysis of 38 cases].
abstract: OBJECTIVE
  The aim of the study was to perform an audit the results of fetal therapy in cases of nonimmune hydrops fetalis (NIHF), isolated hydrothorax and isolated ascites.
  
  
  METHODS
  A total of 38 fetuses (17-35 weeks of pregnancy) were included in the study whereas 6 patients were excluded due to abnormal karyotype. NIHF was diagnosed in 24 cases, hydrothorax in 4 cases, and ascites in 4 cases. Shunts were implanted in 26 (81%) cases and 7 (19%) participants underwent therapeutic cordocentesis.
  
  
  RESULTS
  After therapy anterior-posterior diameter of the right and the left lung increased to 9.6 mm (27%) and 12.4 mm (35%), respectively. Early complications were observed in 5 (16%) cases. PROM 2 (40%), fetal death 1 (20%), infection 1 (20%), and preterm delivery 1 (20%). Out of the 27 patients, 65% had a caesarian section without early complications and 35% had a vaginal delivery with 58% at term and 42% pre-term.
  
  
  CONCLUSIONS
  Preceding results show that intrauterine therapy significantly improves prognosis of fetuses with NIHF.
authors.forename: Kamila
authors.initials: K
authors.lastname: Sobczuk
authors.forename: Justyna
authors.initials: J
authors.lastname: Wojtera
authors.forename: Ewa
authors.initials: E
authors.lastname: Draga
authors.forename: Ewa
authors.initials: E
authors.lastname: Gulczyńska
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Janiak
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Szaflik
mesh_terms: D017218:Cordocentesis / Q000379:methods*; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D015160:Hydrops Fetalis / Q000601:surgery*; D006876:Hydrothorax / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D011295:Prenatal Care / Q000379:methods; D016216:Ultrasonography, Prenatal