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Conditions Managed by the Fetal Health Center

Better outcomes for moms and babies

Often, conditions identified in the womb can be treated with fetal surgery before birth.

We use needle-guided techniques to treat the following conditions:

  • Fetal percutaneous umbilical blood sampling (PUBS) procedures, with or without transfusion 
  • Fetal thoracoamniotic shunt placements 
  • Fetal vesicoamniotic shunt placements 
  • Amnioreductions 
  • Fetal paracentesis 
  • Fetal thoracocentesis 
  • Fetal cyst aspiration/drainage 

Fetal conditions we see at Children's Mercy

Here are some conditions that are often treated with intervention:

  • Amniotic Band Syndrome - the developing baby is exposed to floating tissues that can become entangled around them

  • Congenital Diaphragmatic Hernia - The diaphragm fails to close during prenatal development and the contents from the abdomen move into the chest

  • Congenital Pulmonary Airway Malformation - where a mass of abnormal fetal lung tissue forms, usually in one lung causing it not to function as normal

  • Discordant Monochorionic Twins - discordant monochorionic twins creates a possibility that the babies will develop Twin-to-twin Transfusion Syndrome

  • Fetal Anemia - the baby has an inadequate number or quality of red blood cells in their circulatory system

  • Fetal Bladder Outlet Obstruction - the baby's bladder has a blockage preventing the urine flow into the amniotic fluid

  • Fetal Tumors - tumors found in prenatal development that can harm the baby by requiring significant blood supply

  • Iatrogenic and Previable Ruptured Membranes - management should the amniotic fluids break or leak either spontaneously or after a prior invasive procedure

  • Placental Chorioangioma - removal of benign tumors in the placenta

  • Selective Intrauterine Growth Restriction - the baby's fetal weight is below the 10th percentile