Zeynep Kamil Med J. Ahead of Print: ZKMJ-90377

Perinatal Outcomes of 91 Cases of Non-Immune Hydrops Fetalis

Emre Erdoðdu¹, Resul Arisoy², Lütfiye Uygur³, Furkan Kayabaþoðlu¹, Sevcan Arzu Arinkan⁴, Oya Gokcer³, Murat Muhcu^5
1Alle Health Clinic, Department of Perinatology, Istanbul, Turkey
²Atasehir Memorial Hospital, Department of Perinatology, Istanbul, Turkey
³Zeynep Kamil Gynecologic and Pediatric Training and Research Hospital, Istanbul, Turkey
⁴Haydarpasa Training and Research Hospital, Istanbul, Turkey
⁵Umraniye Training and Research Hospital, Istanbul, Turkey

INTRODUCTION: We aimed to investigate the proportion of etiologically identified non-immune hydrops fetalis cases and perinatal outcomes of all the cases that were diagnosed and managed in a single tertiary perinatal center over a 7-year period
METHODS: Perinatal outcomes, background disorders, and clinical details of the patient and the surviving fetus were retrospectively analyzed.
RESULTS: The etiology was identified prenatally in 60 (65.9%) out of 91 cases. Cystic hygromas and cardiac abnormalities were the most common identifiable causes. Of 91 cases, 48 (52.7%) elected to terminate their pregnancy. Among the 43 patients who elected to continue with their pregnancy, 12 (27.9%) resulted in intrauterine fetal death and 31 (72.1%) survived to birth. The survival rate at discharge was 23.2%.
DISCUSSION AND CONCLUSION: Non-immune hydrops fetalis is a complex problem associated with high mortality. Many patients elect the termination of their pregnancy, and the survival rate is 23.2% in cases who elect to continue with their pregnancy.

Keywords: Non-immune hydrops fetalis, perinatal outcome, survival

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