IMR Press / CEOG / Volume 28 / Issue 3 / pii/2001052

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report

Non-immune hydrops fetalis in the first trimester: A review of 30 cases

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1 Depanment of Obstetrics and Gynecology, Faculty of Medicine, University of Istanbul (Turkey)
Clin. Exp. Obstet. Gynecol. 2001, 28(3), 187–190;
Published: 10 September 2001
Abstract

Objective: To evaluate the etiology and outcome of non-immune hydrops fetalis diagnosed in the first trimester of pregnancy. Methods: 30 cases with fetal hydrops diagnosed between 10 and 14 weeks of pregnancy at the prenatal diagnosis unit of Istan­bul Medical Faculty were reviewed. Sonographic findings, fetal chromosome profiles, and outcomes were analyzed. Results: NIHF was found to be associated with structural abnormalities in 25 (83.3%) cases, and chromosomal abnormalities in nine (47.3%) of the 19 analyzed cases. Nuchal translucency measurements were greater than 3 mm in 28 of the cases (93.3%), and cystic hygroma was the most common detected abnormality (n: 22; 73.3%). All pregnancies with nonimmune hydrops resulted in abortion, intrauterine fetal death, or termination of the pregnancy. Conclusion: Fetal hydrops diagnosed in the first trimester of gestation is associated with a higher incidence of aneuploidy, and it has a high mortality, even in fetuses with normal chromosomes. 

Keywords
Hydrops fetalis
First trimester
Nuchal translucency
Prenatal diagnosis
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