Fetal Abnormalities and Conditions
Fetal medicine encompasses the diagnosis and management of a variety of diseases and conditions that may affect the developing fetus during pregnancy. Here are some common diseases and conditions that fetal medicine specialists may encounter. For example:
- Chromosomal Abnormalities:
- Down syndrome (Trisomy 21)
- Edwards syndrome (Trisomy 18)
- Patau syndrome (Trisomy 13)
- Turner syndrome (Monosomy X)
- Klinefelter syndrome (XXY), etc.
- Structural Abnormalities:
- Neural tube defects (e.g., spina bifida)
- Heart defects
- Kidney abnormalities
- Omphalocele & gastroschisis
- Bladder abnormalities
- Limb abnormalities
- Craniofacial anomalies (e.g., cleft lip and palate), etc.
- Genetic Disorders:
- Cystic fibrosis
- Muscular dystrophy
- Tay-Sachs disease
- Thalassemia
- Sickle cell disease
- Fetal Growth Restriction (FGR):
- Intrauterine growth restriction (IUGR)
- Small for gestational age (SGA) infants
- Maternal Conditions Affecting the Fetus:
- Diabetes (pre-existing or gestational)
- Hypertension (pre-existing or gestational)
- Autoimmune disorders (e.g., lupus)
- Infections:
- HIV
- Toxoplasmosis
- Rubella
- Cytomegalovirus (CMV)
- Herpes simplex virus (HSV)
- Zika virus
- Fetal Anemia:
- Rh incompatibility
- Hemolytic disease of the newborn
- Placental Abnormalities:
- Placenta previa
- Placental abruption
- Placental lakes
- Mesenchymal dysplasias
- Placental chorioangiomas
- Twin-to-Twin Transfusion Syndrome (TTTS):
- A complication in identical twins sharing a placenta where the blood flow is uneven between the fetuses.
- Fetal Tumors:
- Teratomas
- Sacrococcygeal teratoma
- Neuroblastoma
- Fetal Arrhythmias:
- Irregular heartbeats in the fetus
- Congenital heart block.
- Lung and Pulmonary Disorders:
- Congenital diaphragmatic hernia (CDH)
- Â Pulmonary sequestration
- Congenital cystic adenoid malformations (CCAM)
- Skeletal Dysplasias:
- Osteogenesis imperfecta
- Achondroplasia
- Lethal and non-lethal skeletal dysplasias
- Amniotic Fluid Disorders:
- Polyhydramnios (excessive amniotic fluid)
- Oligohydramnios (insufficient amniotic fluid)
- Fetal Syndromes:
- Beckwith-Wiedemann syndrome
- Prader-Willi syndrome
- Angelman syndrome
Fetal medicine specialists use various diagnostic tools, such as ultrasound, genetic testing, and other imaging techniques, to identify these conditions early in pregnancy. The management involves close monitoring, medical interventions, fetal therapy, and counselling to support parents in making informed decisions about the pregnancy and future care for the child.
Faq’s
What are fetal conditions?
Fetal conditions develop while the baby is still in the womb and are also called congenital, meaning they are present at birth. Some of these conditions are genetic and can be inherited from a parent.
What is fetal disorder?
A fetal disorder is a condition that occurs while a baby is developing in the womb, also known as a congenital condition. Some fetal disorders are genetic, meaning they are inherited from a parent.Â
What are the medical conditions in pregnancy?
Several medical conditions can arise during pregnancy, including high blood pressure, gestational diabetes, preeclampsia, and preterm labor. Infections, iron deficiency anemia, and mental health issues like depression and anxiety are also common. Additional complications include placenta previa, placental abruption, hyperemesis gravidarum, miscarriage, and stillbirth.
What are the most common fetal diseases?
Common birth defects include Down syndrome, heart defects, neural tube defects, cleft lip and palate, and clubfoot. Other conditions like anencephaly, anophthalmia, microphthalmia, and diaphragmatic hernia can also occur. Birth defects may result from genetic, nutritional, infectious, or environmental factors. Reducing risk involves maintaining a healthy lifestyle before and during pregnancy, including taking folic acid, eating a balanced diet, and avoiding alcohol and drugs.
What are the fetal infections?
A fetal infection, or congenital infection, occurs when a virus, bacteria, or parasite is passed from the mother to the fetus during pregnancy or delivery. Common viruses causing congenital infections include Cytomegalovirus (CMV), Herpes, Rubella, Parvovirus, and Varicella (chickenpox).
