Decidual Exclusion Myometrial Reefing in EXIT

Abstract

The ex-utero intrapartum therapy (EXIT) is a procedure that provides valuable time for securing a compromised or a threatened airway in the fetus-neonate. Critical to this procedure is the maintenance of the uteroplacental circulation. Achieving complete uterine relaxation, maintaining the uterine volume and the maternal mean arterial pressure are essential to maintain the fetus on the placental circulation. We present a case of EXIT done for a fetus with a prenatal diagnosis of congenital goiter and describe a novel method of minimizing maternal blood loss during the procedure.