hydrops fetalis

From: omaima (obaessa@hotmail.com)
Sun Oct 24 16:25:22 2004


Dear friends,this is Dr.Omaima,i came a cross this pateint which has a fetous with hydrops fetalis for the third time i would like to know if their is any suggestion regarding her manegment in this pregnancy or in her future pregnancy,she is 28 years gravida 5para 4 one normal femal child presented at 26 weeks ,ultrasound showed a fetous with hydrops(fetal ascitic,scalp oedema, plural effusion but no pericardial effusion )she had 2 previous pregnancy with hydrops fetalis ended by IUFD ,now she is 34 weeks IUFD, she had the folowing invistigation: CBC:hg 10,normal electrophoresis(for husband as well) blood group is A+ with no atypical Ab detected -ve ANA,antiphospholipid Ab(include lupus anticoagulant and crdiolpin Ab),Barvo virous B19 -ve normal TOURCH chromosomal analysis was normal(wife and husband) amniocentesis: normal femal fetous since we don't have excperts in cordocentesis it was not done echocrdiogram for the fetous was normal. my diagnosis is non immun hydrops fetalis I,m looknig for any further investigation can be done,and what is your suggestion for future pregnancy Thank you in advance for the help




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