No. 363-Investigation and Management of Non-immune Fetal Hydrops.

Abstract

OBJECTIVE:

To describe the current investigation and management of non-immune fetal hydrops with a focus on treatable or recurring etiologies.

OUTCOMES:

To provide better counselling and management in cases of prenatally diagnosed non-immune hydrops.

EVIDENCE:

Published literature was retrieved through searches of PubMed or MEDLINE, CINAHL, and The Cochrane Library in 2017 using key words (non-immune hydrops fetalis, fetal hydrops, fetal therapy, fetal metabolism). Results were restricted to systematic reviews, randomized controlled trials/controlled clinical trials, observational studies, and significant case reports. Additional publications were identified from the bibliographies of these articles. There were no date or language restrictions. Searches were updated on a regular basis and incorporated in the guideline to September 2017. Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology-related agencies, clinicalpractice guideline collections, clinical trial registries, and national and international medical specialty societies.

BENEFITS, HARMS, AND COSTS:

These guidelines educate readers about the causes of non-immune fetal hydrops and its prenatal counselling and management. It also provides a standardized approach to non-immune fetal hydrops, emphasizing the search for prenatally treatable conditions and recurrent genetic etiologies.

VALUES:

The quality of evidence in this document was rated using the criteria described in the Report of the Canadian Task Force on Preventive Health Care.

RECOMMENDATIONS:

• Authors: Valérie Désilets, Isabelle De Bie, François Audibert
• Journal: Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC (J Obstet Gynaecol Can) Vol. 40 Issue 8 Pg. 1077-1090 (08 2018) ISSN: 1701-2163 [Print] Netherlands
• PMID: 30103882 (Publication Type: Journal Article, Practice Guideline)
• Copyright: Copyright © 2018 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved.

Topics

• Canada
• Female
• Genetic Counseling
• Gynecology
• Humans
• Hydrops Fetalis (prevention & control)
• Obstetrics
• Pregnancy
• Prenatal Diagnosis
• Societies, Medical