title: Amniotic Band Syndrome, Perinatal Hospice, and Palliative Care versus Active Management.
abstract: Introduction. Amniotic band syndrome and sequence are a relatively rare condition in which congenital anomalies occur as a result of the adherence and entrapment of fetal parts with coarse fibrous bands of the amniotic membrane. A large percentage of reported cases have an atypical gestational history. The frequency of this obstetric complication is not affected by fetal gender, genetic abnormality, or prenatal infection.Case. A 21-year-old, G1P0 female parturient at 18 weeks and 5 days with a single intrauterine gestation during a routine ultrasound evaluation was noted to have amniotic band sequence. The pregnancy was subsequently complicated by preterm premature rupture of membranes with oligohydramnios, resulting in a surviving neonate scheduled for rehabilitative treatment.Conclusion. Amniotic band syndrome is an uncommon congenital anomaly resulting in multiple disfiguring and disabling manifestations. Several theories are proposed with most involving early rupture of the amnion and entanglement of fetal parts by amniotic bands. This syndrome can be manifested by development of multiple malformations, with the majority of the defects being limb abnormalities of a disorganized nature, as in the case we present. In the absence of a clear etiology of consequential congenital abnormalities, obstetric management guidelines should use shared decision models to focus on the quality of life for the offspring.
authors.affiliation: Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
authors.forename: Shadi
authors.identifier: 0000-0001-8498-565X
authors.initials: S
authors.lastname: Rezai
authors.affiliation: St. George's University School of Medicine, True Blue, Grenada.
authors.forename: Justin
authors.initials: J
authors.lastname: Faye
authors.affiliation: Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
authors.forename: Annika
authors.initials: A
authors.lastname: Chadee
authors.affiliation: Department of Obstetrics and Gynecology, Houston Methodist St. John Hospital, 18300 St. John Drive, Nassau Bay, TX 77058, USA.
authors.forename: Sri
authors.initials: S
authors.lastname: Gottimukkala
authors.affiliation: Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
authors.forename: Ruchi
authors.initials: R
authors.lastname: Upadhyay
authors.affiliation: Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
authors.forename: Carla
authors.initials: C
authors.lastname: Lara
authors.affiliation: Department of Pediatrics, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
authors.forename: Benamanahalli H
authors.initials: BH
authors.lastname: Rajegowda
authors.affiliation: Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
authors.forename: Andrew D
authors.initials: AD
authors.lastname: Corwin
authors.affiliation: Department of Pediatrics, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
authors.forename: Rasila V
authors.initials: RV
authors.lastname: Lala
authors.affiliation: Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Vernon
authors.affiliation: Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
authors.forename: Dilfuza
authors.initials: D
authors.lastname: Nuritdinova
authors.affiliation: Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Chasen
authors.affiliation: Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
authors.forename: Cassandra E
authors.identifier: 0000-0002-6849-6677
authors.initials: CE
authors.lastname: Henderson