Fetal Therapy : State of the Art

by Evans; Mark I.

• ISBN13: 9781850700647
• ISBN10: 1850700648
• Edition: 1st
• Format: Hardcover
• Copyright: 2001-02-15
• Publisher: CRC Press

Summary

Diagnostic techniques such as amniocentesis and ultrasound have expanded the armamentarium of prenatal diagnosis. As diagnostic techniques increase in accuracy, the demand for something other than selective termination of pregnancy will also increase. The ultimate goal of this line of research has always been fetal therapy, not just the ability to make the diagnosis.Fetal Therapy provides in-depth coverage of diagnostic techniques and therapies for fetal abnormalities. Photographs and line drawings illustrate the techniques discussed and concise tables make the data easy to find. It is the first book to cover emerging techniques for diagnosing fetal abnormalities with an essentially no-risk, noninvasive test of maternal blood at 7-8 weeks' gestation.In addition to up-to-date information on the latest technology in this field, the book also examines ethical issues from a historic perspective and ethical considerations in offering and recommending fetal therapy for the fetal patient. Bringing together new ideas and possibilities for new procedures Fetal Therapy explores the issues involved in expanding the applicability and availability of prenatal diagnosis and the options for treatment.

Table of Contents

List of contributors	vii
Welcome	ix
D. Alexander
Ultrasound diagnosis of structural abnormalities	1	(20)
M. E. D'Alton
Looking beyond conception using first-trimester embryofetoscopy	21	(6)
E. A. Reece
The prenatal evaluation and treatment of fetal obstructive uropathy	27	(12)
M. P. Johnson
M. I. Evans
Second-trimester fetoscopic intervention: operative fetoscopy	39	(8)
R. Quintero
Surgically correctable fetal disease	47	(12)
M. Harrison
Management of fetal lung lesions	59	(4)
N. S. Adzick
Open surgery for fetal sacrococcygeal teratomas	63	(4)
A. W. Flake
Pharmacologic fetal therapy	67	(10)
M. I. Evans
R. F. Hume Jr
P. Lewis
B. Feldman
Y. Yaron
Prenatal therapy for inborn errors of sterol and protein metabolism	77	(10)
M. Irons
Ethics in fetal therapy: a historical perspective	87	(16)
J. C. Fletcher
In utero hematopoietic stem cell transplantation	103	(8)
A. W. Flake
In utero bone marrow transplantation	111	(6)
K. J. Blakemore
Directive counseling regarding fetal therapy: ethical considerations in offering and recommending fetal therapy for the fetal patient	117	(8)
F. A. Chervenak
L. B. McCullough
Index	125