E-ISSN 2149-388X | ISSN 2149-0430
 

Original Article 


The Evaluation of Risk Factors and Results in Pregnant Women with Intrauterine Fetal Hydrocephalus: A Single Center Experience

Nazli Korkmaz, Ibrahim Alatas, Nejdet Oncu, Ali Ekiz, Alev Atis Aydin.

Abstract
Introduction Fetal hydrocephalus (FHC) occurs as a result of excessive production of cerebrospinal fluid (CSF) or CSF absorption or circulation disorders.We aim to evaluate risk factors, and to analyze the management and results in pregnant women diagnosed with FHC. Material and Methods Pregnant women diagnosed with prenatal FHC in the perinatology center between January 2015-December 2020 were included in the study, retrospectively. Demographic datas and anomalies accompanying FHC were analyzed. The frequency of fetal magnetic resonance imaging(MRI), amniocentesis and/or karyotype analysis rates, and termination frequency were examined. Results A total of 117 patients with intrauterine FHC were included. The median age and gestational week were 25.5 years and 21+4 weeks. Isolated FHC was observed in 32.5%. The frequency of fetal USG use is 97.4%; MRI was performed only in 3 (2.6%) patients. The amniocentesis and karyotype analysis were performed in 17.1% and 15.4%. While the presence of isolated FHC or accompanying anomalies has no effect on performing amniocentesis and karyotype analysis; it was determined that karyotype analysis was applied significantly less in case of NTD diagnosis(p=0.001). While the termination rates was 47.9; live birth occurred in 51.3%. The gestational week was significantly lower in patients who were terminated than in those whose delivery was decided (median 20+3 vs 23+2) (p=0.015). Termination rates were found to be significantly lower than those with anomaly accompanying FHC(p=0.018). Conclusion Accuracy rates of fetal USG in the diagnosis of prenatal FHC are quite high. Prenatal diagnosis and timing are important factors affecting termination and live birth rates.

Key words: fetal hydrocephalus, prenatal diagnosis, pregnancy, neural tube defect, amniocentesis


 
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How to Cite this Article
Pubmed Style

Korkmaz N, Alatas I, Oncu N, Ekiz A, Aydin AA. The Evaluation of Risk Factors and Results in Pregnant Women with Intrauterine Fetal Hydrocephalus: A Single Center Experience. Ulutas Med J. 2022; 8(1): 58-63. doi:10.5455/umj.20211122060917


Web Style

Korkmaz N, Alatas I, Oncu N, Ekiz A, Aydin AA. The Evaluation of Risk Factors and Results in Pregnant Women with Intrauterine Fetal Hydrocephalus: A Single Center Experience. https://www.ulutasmedicaljournal.com/?mno=18828 [Access: April 05, 2022]. doi:10.5455/umj.20211122060917


AMA (American Medical Association) Style

Korkmaz N, Alatas I, Oncu N, Ekiz A, Aydin AA. The Evaluation of Risk Factors and Results in Pregnant Women with Intrauterine Fetal Hydrocephalus: A Single Center Experience. Ulutas Med J. 2022; 8(1): 58-63. doi:10.5455/umj.20211122060917



Vancouver/ICMJE Style

Korkmaz N, Alatas I, Oncu N, Ekiz A, Aydin AA. The Evaluation of Risk Factors and Results in Pregnant Women with Intrauterine Fetal Hydrocephalus: A Single Center Experience. Ulutas Med J. (2022), [cited April 05, 2022]; 8(1): 58-63. doi:10.5455/umj.20211122060917



Harvard Style

Korkmaz, N., Alatas, . I., Oncu, . N., Ekiz, . A. & Aydin, . A. A. (2022) The Evaluation of Risk Factors and Results in Pregnant Women with Intrauterine Fetal Hydrocephalus: A Single Center Experience. Ulutas Med J, 8 (1), 58-63. doi:10.5455/umj.20211122060917



Turabian Style

Korkmaz, Nazli, Ibrahim Alatas, Nejdet Oncu, Ali Ekiz, and Alev Atis Aydin. 2022. The Evaluation of Risk Factors and Results in Pregnant Women with Intrauterine Fetal Hydrocephalus: A Single Center Experience. THE ULUTAS MEDICAL JOURNAL, 8 (1), 58-63. doi:10.5455/umj.20211122060917



Chicago Style

Korkmaz, Nazli, Ibrahim Alatas, Nejdet Oncu, Ali Ekiz, and Alev Atis Aydin. "The Evaluation of Risk Factors and Results in Pregnant Women with Intrauterine Fetal Hydrocephalus: A Single Center Experience." THE ULUTAS MEDICAL JOURNAL 8 (2022), 58-63. doi:10.5455/umj.20211122060917



MLA (The Modern Language Association) Style

Korkmaz, Nazli, Ibrahim Alatas, Nejdet Oncu, Ali Ekiz, and Alev Atis Aydin. "The Evaluation of Risk Factors and Results in Pregnant Women with Intrauterine Fetal Hydrocephalus: A Single Center Experience." THE ULUTAS MEDICAL JOURNAL 8.1 (2022), 58-63. Print. doi:10.5455/umj.20211122060917



APA (American Psychological Association) Style

Korkmaz, N., Alatas, . I., Oncu, . N., Ekiz, . A. & Aydin, . A. A. (2022) The Evaluation of Risk Factors and Results in Pregnant Women with Intrauterine Fetal Hydrocephalus: A Single Center Experience. THE ULUTAS MEDICAL JOURNAL, 8 (1), 58-63. doi:10.5455/umj.20211122060917