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Prenatal
Diagnostic Tests
- comprehensive
obstetrical ultrasounds
- fœtal
echocardiogram
- magnetic
resonance imaging
- amniocentesis
- chorionic
villus sampling/placental biopsy
- fœtal
blood sampling
- diagnostic
aspiration of fœtal fluids
- fœtal
tissue biopsy
- embryoscopy/fœtoscopy
- fœtal
endoscopy
We
provide and facilitate access to state-of-the-art laboratory services
around the world.
Teratogen
risk assessment
- drug exposure
- maternal
infection
- environmental
exposure
Fœtal
Treatment
Properly
selected, some fœtal anomalies require intervention before birth to improve
perinatal survival and the child's quality of life.
The nature of intervention may be:
Medical
- fœtal
hyperthyroidism
- congenital
adrenal hyperplasia
- hematological
disorders
- infections
Surgical
- lung malformations/cysts
- congenital
diaphragmatic hernia
- pleural
effusion
- urinary
tract obstruction
- sacrococcygeal
teratoma
- ascitis
- twin-to-twin
transfusion syndrome
- TRAP sequence
in monozygotic twins
- multifœtal
reduction/selective termination
Future advancement
in both knowledge and technology will lead to many more malformations
being amenable to correction.
Perinatal
Treatment
In a specialized
centre most fœtal malformations can be treated after birth. A highly specialized
transport team is available to transfer newborns from the birth centre
to The Montreal Children's Hospital. In some cases, the timing, mode and/or
site of delivery may have to be carefully planned in order to improve
outcome.
Some examples
are:
- abdominal
wall defects (omphalocele, gastroschisis)
- neural
tube defects
- cardiac
defects
- Some anomalies
may evolve in utero and need special intrapartum management.
For instance:
- teratomas
(cervical, sacrococcygeal)
- cystic
hygroma
- skeletal
dysplasia
- congenital
heart defects
Postnatal
Treatment
Our team
is supported by highly qualified pediatric specialists:
- Neonatologists
- Pediatric
Cardiologist
- Pediatric
Cardiovacular Surgeons
- Pediatric
Endocrinologists
- Pediatric
Nephrologists
- Pediatric
Neurosurgeons
- Pediatric
Orthopedists
- Pediatric
Radiologists
- Pediatric
Surgeons
- Pediatric
Urologists
Genetic
Counselling
- for prenatal
screening tests
- a prior
to prenatal diagnosic
- at prenatal
detection of fœtal anomaly
- for risks
and assessment & counselling after termination of pregnancy or prior
to subsequent pregnancy
- after
pre/postnatal treatment of baby with congenitial malformations Genetic
counsellors ensure continuity of care.
Termination
of Pregnancy
Our centres
provide the services for termination of pregnancy for medical reasons
during the first or second trimester, if these procedures are not available
in your hospital.
Embryofœtopathology
Our consultants
in pathology specializing in fœtal malformation provide a precise diagnostis
of fœtal anomalies.
Proper diagnosis of fœtal malformation is essential to the provision of
accurate risks of recurrence and proper future pregnancy management.
Psychosocial
Assessment
- bereavement
counselling
- pastoral
services
- support
groups
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