V. Ferianec, M. Križko, ml., M. Gábor, P. Papcun, M. Redecha, M. Dráb, M. Feriancová, I. Kunochová, M. Fojtíková, M. Borošová, K. Holomáň, I. Hollý, J. Záhumenský
An unborn foetus with abnormal development has become, thanks to the biomedical
progress which enabled prenatal screening and highly resolving imaging methods,
a real patient. The events as foetal malformation or ‘in utero’ originated problems
might be at present ‘in utero’ not only diagnosed but also treated.
Foetal therapy in some situations besides conservative medicamental treatment also
requires invasive intrauterine approach. Using intensive intrauterine treatment,
we might solve a lot of previously infaust situations - previable rupture of membranes,
foetal hydropses (either related or not with foetal anaemia), need for hormonal
treatment of a foetus. The idea of foetal therapy is to prevent irreversible impairment
of organs and intrauterine or early postnatal death. Foetal interventions present
a broad spectrum of procedures on foeti while they are linked with placental
circulation. However, an expected benefit for the foetus and its mother has to overcome
risk related to it.
This work aims to present a 12-year retrospective overview of intrauterine procedures
of foetal diagnosis and therapy performed at the 2nd Department of Obstetrics
and Gynecology, University Hospital Bratislava.