Hydrops Fetalis

Authors

  • Jofril Azmi Resident of Obstetrics and Gynecology, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
  • Roza Sriyanti Sub Division of Maternal Fetal Medicine, Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang

DOI:

https://doi.org/10.25077/aoj.3.2.151-155.2019

Abstract

Objective: To report cases of hydrops fetalis

Method: Case report

Results: The case was a female patient aged 36 years, with a diagnosis of G3P1A1H1 gravid 23-24 weeks + Hydrops Fetalis + 1x SC former. On ultrasound examination at 23-24 weeks of age, fetal biometry was found; BPD: 58.9 mm, HC: 211.0 mm, AC: 202.5 mm, FL: 44.4 mm, HL: 40.7 mm, EFW: 417 gr, SDP: 12.79 cm, FHR: 162x / minute, shows anasarcoma edema (+), hydrothoric (+), ascites (+), impression: gravid 23-24 weeks according to biometry, live fetus, Hydrops fetalis, polyhydramnios. Then amniocentesis was carried out followed by a chromosome analysis examination carried out by the G-Banding technique. The chromosomes from 18 cells from 3 different cell culture preparations were carried out and obtained the number of chromosomes in each cell studied was 46, XY, which means that the number of chromosomes is 46. fruit with the fetal sex chromosome is XY. No major structural abnormalities were seen. At 25-26 weeks of gestation, the baby was born by SC with BBL: 2100 gr, PB: 32 cm, maceration degrees 2- 3, Hydrops Fetalis.

Conclusion: Hydrops Fetalis is an abnormal accumulation of fluid in 2 or more compartments of the fetal body. The prenatal diagnosis of Hydrops Fetalis can be confirmed by fetal imaging, maternal hematology, amniocentesis.

Keywords: Hydrops Fetalis, polyhydramnios

References

Bianchi DW, Crombleholme TM, D'Alton ME. Non-immune hydrops fetalis. In: Bianchi DW, Crombleholme TM, D'Alton ME, editors. Fetology: Diagnosis and management of the fetal patient New Y ork: McGraw-Hill. 2000:959-965.

Bellini C, Hennekam RC. Non- immune hydrops fetalis: a short review of etiology and pathophysiology. Am J Med Genet A. Mar. 2012;158A(3):597-605.

Carlo bellini,et al. Etyologi Of Non-immune Hydrops Fetalis: Systemic Review. Am J Med Genet Part A 2009;149a:844-851

Cunningham, et.al. Hidrop Fetalis : Obstetri William Ed. 25. Jakarta: EGC. 2017

Désilets V, Audibert F, MD, Montreal QC et all, J Obstet Gynaecol Can 2013;35(10):923– 936

Durre Sabih. Hydrops Fetalis. Diunduh dari http://www. 403962- overview. 2011

Keeling, Jean W. Khong T Yee. Fetal and Neonatal Pathology. Springer. 2007

Matthew E. A, et al. Hydrops Fetalis: A Retrospective Review of Cases Reported to a Large National Database and Identification of Risk Factors Associated With Death. 2007

Sindu, E. Hemolytic disease of the newborn. Jakarta: Direktorat Laboratorium Kesehatan Dirjen. Pelayanan Medik Depkes dan Kessos RI. 2005

Désilets V, Audibert F, MD, Montreal QC et all, J Obstet Gynaecol Can 2013;35(10):923– 936

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Published

2019-12-12

Issue

Vol. 3 No. 2 (2019)

Section

CASE REPORT

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Andalas Obstetrics and Gynecology Journal (AOJ) is published under the terms of the Creative Commons Attribution 4.0 International License. This license permits anyone to copy and redistribute this material in any form or format, compose, modify, and make derivatives of this material for any purpose, including commercial purposes, as long as they credit the author for the original work.