[Obstetrical management of surgically correctable fetal malformations].

Abstract

A considerable improvement in the management of congenital malformations results from early prenatal diagnosis. In most cases, the diagnosis is made in utero with such precision that a prognosis can be made before birth. Specific investigations such as fetal blood sampling, prenatal biology and cytogenetic studies may be necessary. Diagnosis, prognosis evaluation and management require a high degree of specialization and a multidisciplinary and well coordinated team in selected specialized centres. The management depends upon the type of malformation (gastro-intestinal, urinary, cardiac, pulmonary, osseous, parietal, etc), its importance, whether it is isolated or not, the postnatal surgical possibilities and the parents' opinion.