Intrapartum Management of the Fetus with Idiopathic Hydrocephalus

Richard K. Silver, Robert W. Huff

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Intrapartum management of fetal idiopathic hydrocephalus (IH) diagnosed late in pregnancy is controversial. Normal intellectual development is possible in many of these infants when neurosurgical intervention is undertaken in the neonatal period. Aggressive intrapartum management is indicated in most of these cases regardless of cortical mantle thickness. However, routine abdominal delivery is associated with increased maternal morbidity without proven fetal benefit. Transvaginal cephalocentesis for fetuses with IH in the cephalic presentation, followed by spontaneous vaginal delivery, lessens maternal morbidity and is compatible with good neonatal outcome.

Original languageEnglish (US)
Pages (from-to)16-19
Number of pages4
JournalAmerican Journal of Perinatology
Volume4
Issue number1
DOIs
StatePublished - Jan 1987

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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