Non-immune hydrops fetalis: case study

Lewandowska-Andruszuk Izabela, Adamczyk- Gruszka Olga, Czerwiak Grażyna, Gruszka Jakub, Komar-Gruszka Karolina. Non-immune hydrops fetalis: case study. Journal of Education, Health and Sport. 2017;7(10):108-115. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1000961

http://ojs.ukw.edu.pl/index.php/johs/article/view/4966

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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

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Received: 15.09.2017. Revised: 10.10.2017. Accepted: 10.10.2017.

Non-immune hydrops fetalis: case study

Izabela Lewandowska-Andruszuk1, PhD, Olga Adamczyk- Gruszka2, PhD:,

Grażyna Czerwiak3, Ph.D., Jakub Gruszka4, doctor, Karolina Komar-Gruszka4, doctor

1Departament of Perinatology and Obstetric- Gynecological Nursing, Faculty of Health Sciences, Jan Kochanowski University, Kielce, Poland

2Departament of Prophylaxis In Gynecology and Obstetrics, Faculty of Health Sciences, Jan Kochanowski University, Kielce, Poland, e- mail: kasia.kielce@poczta.fm, mobile phone: 605233038

3Department of Nursing Skills and Labour Organization, Institute of Nursing and Midwifery, Faculty of Health Sciences The Jan Kochanowski University, Kielce, Poland.

4Provincial Integrated Hospital in Kielce, Poland

Non-immune hydrops fetalis: case study

Summary

Introduction: Non-immune hydrops fetalis (NIHF) occurs with an average frequency of 1/3,000 cases diagnosed pre- and postnatally. Edema of the fetus is associated with accumulation of fluids in several fetal compartments and soft tissues. NIHF may result from diseases of the heart, blood vessels, kidneys and urinary tract, lungs, gastrointestinal problems, blood disorders, disordered metabolism, chromosomal disorders, and infections. Diagnosis is based on ultrasonography.

The aim of the study was to present NIHF case, diagnostic and therapeutic difficulties and indications for premature termination of pregnancy by caesarean section.

Case study. A 40-year-old pregnant woman, fourth pregnancy, was diagnosed with NIHF in 29 hbd. Despite a number of diagnostic tests for infections and congenital abnormalities, chromosomal disorders, etc., the cause of fetal edema was not established. Because of pelvic presentation of the fetus threatening severe asphyxia, emergency termination of the pregnancy by cesarean section was performed in 29 hbd. The baby did not survive. Unfortunately, the cause of NIHF was not established postnatally. The baby did not survive.

Conclusions. Pregnant women are required to fully diagnose the causes of NIHF to promptly implement causative treatment. In the case of idiopathic NIHF, symptomatic treatment and earlier termination of pregnancy by cesarean section are recommended.

Keywords: non-immune hydrops fetalis, diagnostics, caesarean section