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Foetal therapies and their influence on preterm birth.
Semin Immunopathol. 2020 Aug; 42(4):501-514.SI

Abstract

Foetal therapy aims to improve perinatal survival or to prevent severe long-term handicap. Foetal medicine opens a new territory by treating the foetus as a patient. The mother has nothing to gain in terms of health benefits, yet she is inherently also undergoing treatment. In utero foetal interventions can be divided into ultrasound-guided minimally invasive procedures, fetoscopic procedures and open hysterotomy procedures, which carry an inherent risk of ruptured membranes and preterm birth. In this review, we summarise the conditions that may benefit from foetal therapy and review the current therapies on offer, each with their associated risk of ruptured membrane and preterm birth. We also look into some risk limiting and preventative strategies to mitigate these complications.

Authors+Show Affiliations

Department of Development and Regeneration, Cluster Woman and Child, Group Biomedical Sciences, KU Leuven University of Leuven, Leuven, Belgium.Department of Development and Regeneration, Cluster Woman and Child, Group Biomedical Sciences, KU Leuven University of Leuven, Leuven, Belgium. Department of Obstetrics and Gynaecology, Division Woman and Child, University Hospitals Leuven, Leuven, Belgium.Department of Development and Regeneration, Cluster Woman and Child, Group Biomedical Sciences, KU Leuven University of Leuven, Leuven, Belgium. Department of Obstetrics and Gynaecology, Division Woman and Child, University Hospitals Leuven, Leuven, Belgium.Department of Development and Regeneration, Cluster Woman and Child, Group Biomedical Sciences, KU Leuven University of Leuven, Leuven, Belgium. Department of Obstetrics and Gynaecology, Division Woman and Child, University Hospitals Leuven, Leuven, Belgium.Department of Development and Regeneration, Cluster Woman and Child, Group Biomedical Sciences, KU Leuven University of Leuven, Leuven, Belgium. Department of Obstetrics and Gynaecology, Division Woman and Child, University Hospitals Leuven, Leuven, Belgium. Institute for Women's Health, University College London, London, United Kingdom.Department of Development and Regeneration, Cluster Woman and Child, Group Biomedical Sciences, KU Leuven University of Leuven, Leuven, Belgium. Liesbeth.lewi@uzleuven.be. Department of Obstetrics and Gynaecology, Division Woman and Child, University Hospitals Leuven, Leuven, Belgium. Liesbeth.lewi@uzleuven.be.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32785752

Citation

Valenzuela, Ignacio, et al. "Foetal Therapies and Their Influence On Preterm Birth." Seminars in Immunopathology, vol. 42, no. 4, 2020, pp. 501-514.
Valenzuela I, van der Merwe J, De Catte L, et al. Foetal therapies and their influence on preterm birth. Semin Immunopathol. 2020;42(4):501-514.
Valenzuela, I., van der Merwe, J., De Catte, L., Devlieger, R., Deprest, J., & Lewi, L. (2020). Foetal therapies and their influence on preterm birth. Seminars in Immunopathology, 42(4), 501-514. https://doi.org/10.1007/s00281-020-00811-2
Valenzuela I, et al. Foetal Therapies and Their Influence On Preterm Birth. Semin Immunopathol. 2020;42(4):501-514. PubMed PMID: 32785752.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Foetal therapies and their influence on preterm birth. AU - Valenzuela,Ignacio, AU - van der Merwe,Johannes, AU - De Catte,Luc, AU - Devlieger,Roland, AU - Deprest,Jan, AU - Lewi,Liesbeth, Y1 - 2020/08/12/ PY - 2020/06/29/received PY - 2020/07/26/accepted PY - 2020/8/14/pubmed PY - 2020/8/14/medline PY - 2020/8/14/entrez KW - Fetoscopy KW - Foetal medicine KW - Foetal surgery KW - Foetal therapy KW - Premature rupture of membranes KW - Preterm birth SP - 501 EP - 514 JF - Seminars in immunopathology JO - Semin Immunopathol VL - 42 IS - 4 N2 - Foetal therapy aims to improve perinatal survival or to prevent severe long-term handicap. Foetal medicine opens a new territory by treating the foetus as a patient. The mother has nothing to gain in terms of health benefits, yet she is inherently also undergoing treatment. In utero foetal interventions can be divided into ultrasound-guided minimally invasive procedures, fetoscopic procedures and open hysterotomy procedures, which carry an inherent risk of ruptured membranes and preterm birth. In this review, we summarise the conditions that may benefit from foetal therapy and review the current therapies on offer, each with their associated risk of ruptured membrane and preterm birth. We also look into some risk limiting and preventative strategies to mitigate these complications. SN - 1863-2300 UR - https://www.unboundmedicine.com/medline/citation/32785752/Foetal_therapies_and_their_influence_on_preterm_birth_ L2 - https://dx.doi.org/10.1007/s00281-020-00811-2 DB - PRIME DP - Unbound Medicine ER -
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