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Congenital diaphragmatic hernia (CDH).

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Q: What is one of many fetal abnormalities that may be treated by endoscopic fetoscopy?
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Who can perform endoscopic fetoscopy?

Endoscopic fetoscopy requires a high level of skill and experience by fetal surgeons and is performed in a hospital setting.


What does preparation for endoscopic fetoscopy depend on?

Preparation for endoscopic fetoscopy will depend on the extent of the procedure, and whether it is performed transcervically or transabdominally. Obtaining a small fetal tissue sample is a smaller procedure by comparison to fetal surgery.


What complications can arise from endoscopic fetoscopy?

Endoscopic fetoscopy has the potential for causing infection in the fetus and/or mother; premature rupture of the amniotic membranes; premature labor; and fetal death.


What are the morbidity or mortality rates associated with fetoscopy?

There is no morbidity or mortality associated with external fetoscopy. In the case of endoscopic fetoscopy, the risk of fetal loss is estimated to be between 3% and 5%.


What type of aftercare is required with external fetoscopy?

External fetoscopy does not require aftercare. The care following fetal endoscopic use will depend on the extent of the procedure and the type of anesthesia used.


What is one of the fetal abnormalities that may be treated by fetal surgery?

Myelomeningocele. Also called spina bifida, myelomeningocele is a condition in which the spine fails to close properly during early fetal development.


How has fetoscopy improved?

As laparoscopic and microsurgical techniques have become more common and the instrumentation has become more advanced technologically, fetoscopy has improved for fetal diagnostic and therapeutic purposes.


How do endoscopic fetoscopes help babies?

Fetal surgical techniques utilizing the endoscopic fetoscope offer early intervention in order to treat such defects before they become serious.


What are some common causes of fetal distress during labor?

Fetal distress is often related to abnormalities in the position of the fetus, or abnormalities in the birth canal, causing reduced blood flow through the placenta.


What is an external fetoscopy?

An external fetoscope resembles a stethoscope , but with a headpiece. It is used externally on the mother's abdomen to auscultate (listen to) the fetal heart tones after about 18 weeks gestation.


Does an amniocentesis register fetal abnormalities other than Down syndrome?

Yes


What is the test Amniocentisis?

It is a test for chromosomal abnormalities, fetal infections and otherwise genetic abnormalities which could result in problems with a growing fetus. It is conducted via a micro-extraction of amniotic fluid which contains fetal tissue which of course is used as a DNA sample to detect those potential abnormalities early on.