Akademik Veri Yönetim Sistemi
TURK PEDIATRI ARSIVI-TURKISH ARCHIVES OF PEDIATRICS, cilt.45, ss.1-3, 2010 (SCI-Expanded)
The vast majority of the congenital surgical abnormalities can be determined prior to birth. Most of these defects are perceived from ultrasonographic examinations during pregnancy. Some of the complicated abnormalities detected in the prenatal period, with the collaboration of obstetrics, neonatology, genetics, pediatrics and pediatric surgery specialists, can also be treated prenatally by taking the decision of family. Prenatal information related with the type of birth, minimal requirements for a possible maternal hospital, possible course of the diasease, management protocols and their effects on the future of unborn patient should be given in detail to tha parents. As the delivery time approaches, many of the pregnant mothers with managable abormalities should be directed to the appropriate centers where the previously mentioned teams work. For those fetuses with severe, life threatening abnormalities, evaluation of the abortion decision should be made earlier. In these centers, either the baby is delivered in the preterm period or the method for the birth could be altered acording to the characteristics of the abnormality. Intrauterin correction is required for some fetuses. Postnatal treatment of the most abnormalities ascertained will be made by pediatric surgeons. By courtesy of these consultations, due to the prenatal follow up and and planned emergent treatment following birth, birth place and method could be changed. (Turk Arch Ped 2010; 45 Suppl: 1-3)