The outcome and course of pregnancies complicated with fetal neural tube defects

Clin Exp Obstet Gynecol. 2015;42(1):57-61.

Abstract

Purpose: The objectives of this study were as follows: to present the course and outcome of pregnancies complicated with neural tube defects, determine the association between prenatal ultrasound diagnoses, and definitive diagnoses after autopsy.

Material and methods: The survey was designed as a retrospective study and included 24 pregnant women who were attending a regular ultrasound examinations at the Department of Gynecology and Obstetrics, Clinical Center of Serbia, or patients who were referred from other institutions in Serbia.

Results: Neural tube defects are divided into five subgroups: spina bifida, meningocele, myelomeningocele, acranius, and anencephaly. The most frequent in the present study was spina bifida with 67%. All pregnancies complicated with neural tube defects were terminated.

Conclusion: Their clinical severity and uncertain cause make them priorities for further research, whether to better target primary preventive measures, to improve in-utero surgery for prenatal repair, or to identify the causative genes to provide an objective basis for individual genetic counselling.

MeSH terms

  • Aborted Fetus / pathology
  • Abortion, Induced / statistics & numerical data
  • Adult
  • Female
  • Humans
  • Needs Assessment
  • Neural Tube Defects* / classification
  • Neural Tube Defects* / diagnosis
  • Neural Tube Defects* / therapy
  • Pregnancy
  • Pregnancy Complications* / diagnosis
  • Pregnancy Complications* / therapy
  • Pregnancy Outcome
  • Prenatal Diagnosis / methods
  • Retrospective Studies
  • Serbia
  • Ultrasonography, Prenatal / methods*