Overview
Refer and Contact
Diagnoses & Treatment
Fetal Algorithms
Programs
Maternal Fetal Medicine
Program for Multiples
Specialties
Spina Bifida Repair
TTTS
About Your Visit
Our Team of Experts
Meet Our Patients
Online Resources

Bookmark and Share

 
 



FETAL DIAGNOSES & TREATMENT

Texas Children's Fetal Center evaluates
and treats all fetal abnormalities

 

Patient Evaluation Shows Twins on the Monitor - Texas Children's Fetal Center
 

For Health Care Professionals

View fetal algorithms used at Texas Children's Fetal Center.

A number of potentially fatal birth defects can be detected and treated before a child’s birth because
of the availability of expertise in all types of fetal abnormalities, world-class imaging techniques
and diagnostic testing available at Texas Children's Fetal Center.

While most birth defects are best managed with medical therapy during pregnancy or with surgery immediately after birth, an increasing number of anatomic abnormalities can be corrected before birth to reduce some of the life-threatening or devastating consequences of the defect.

Our experienced team of experts evaluate and treat the following conditions:

Abdominal Wall Defects  
  Gastroschisis  
  Omphalocele  
Amniotic Band Syndrome  
CNS Lesions  
  Hydrocephalus  
  Hydrancephaly  
  Anencephaly  
  Holoprosencephaly  
  Encephalocele  
Congenital Airway Obstruction (CHAOS)  
Congenital Diaphragmatic Hernia  
Congenital Heart Disease  
Craniofacial Anomalies  
  Cleft Lip  
  Cleft Palate  
Duodenal and Intestinal Atresia  
Esophageal Atresia with Tracheoesophageal Fistula  
Fetal Cardiac Arrhythmias  
Fetal Chylothorax or Hydrothorax  
Giant Neck Masses  
Lung Lesions  
  Congenital Cystic Adenomatoid Malformation (CCAM)  
  Hybrid Lesions  
  Pleuro Pulmonary Blastoma  
  Pulmonary Sequestration  
Maternal Immune Disorders Affecting the Fetus  
  Congenital Heart Block  
  Platelet Alloimmunization  
  Red Cell Alloimmunization  
Myelomeningocele (Spina Bifida)  
Non-immune Hydrops  
Small Bowel Obstruction  
Sacrococcygeal Teratoma  
Skeletal Dysplasia  
Twin Abnormalities  
  Twin-Twin Transfusion Syndrome (TTTS)  
  Discordant Intrauterine Growth Restriction (IUGR)  
  Discordant Structural Anomalies  
  TRAP Sequence (acardiac twin)  
Urinary Tract Obstruction  
  Bladder Outlet Obstruction  
  Hydronephrosis  

Congenital Diaphragmatic Hernia
Congenital diaphragmatic hernia (CDH) occurs when the diaphragm does not fully form, allowing organs like the stomach, spleen, liver, and intestines to enter the chest cavity and preventing lung growth. The defect can occur on the right or left side or both, but left side CDH is most common. It is suggested that the presence of abdominal organs in the chest cause the devastating effects in the developing lungs. One in every 2,500 babies is afflicted by CDH, which can cause minor lasting health problems such as feeding aversions, asthma, scoliosis and short-term oxygen dependency – or major ongoing health problems, including ventilator dependency, brain damage, hearing problems and deathLearn more

Congenital Cystic Adenomatoid Malformation of the Lung (CCAM)
Lungs are normally divided into sections called lobes, with three on the right and two on the left. A congenital cystic adenomatoid malformation (CCAM) is a cystic mass of abnormal, dysfunctional lobe that appears as a fluid-filled sac called a cyst. Most CCAMs either disappear or are too small to cause problems. Typically, they are benign, but in rare cases may become cancerous or infected and cause pneumonia.

Giant Neck Masses
Giant fetal neck masses, such as cervical teratoma and lymphatic malformation, can grow to such large proportions that the fetal airway becomes distorted and obstructed. In addition to obstructing the airway, these masses can compress the esophagus, resulting in polyhydramnios, uterine irritability and preterm labor.

Platelet Alloimmunization
Neonatal Alloimmune Thrombocytopenia is a blood-related disease that affects expecting mothers and their babies.Most people are familiar with the red blood cells that make up the majority of the blood in our bodies, but may not be aware of a second type of cell in our blood stream called platelets. These small cells are responsible for stopping bleeding in the human body. Neonatal Alloimmune Thrombocytopenia is a disease that develops when platelets in the pregnant mother and her baby become incompatible and cannot exist together. Learn more

Sacrococcygeal Teratoma
Fetal sacrococcygeal teratoma (SCT) is a nonmalignant tumor located at the base of the tailbone. Occurring in one in every 35,000 to 40,000 live births, it is the most common tumor in newborns. These tumors can grow to large proportions and contain large blood vessels that rob the developing fetus of blood. SCTs are cancerous 10 percent of the time.

Spina Bifida

Spina bifida is a birth defect in which the bones of the spine (vertebrae) do not form properly around the spinal cord. This can occur anywhere along the spine. Spina bifida is the most common of a group of birth defects called neural tube defects. The role of fetal surgery in managing fetuses with this condition is the subject of a national trial called Management of Myelomeningocele Study (MOMS).

Red Cell Alloimmunization
Hemolytic Disease of the Fetus and Newborn is a disease that often confuses many parents expecting a baby. It is caused when red blood cells between the mother and the baby cannot exist together due to a condition called red cell alloimmunization. By better understanding Hemolytic Disease of the Fetus and Newborn, you may find the treatment easier to understand as well as less stressful. Learn more

Twin-Twin Transfusion Syndrome (TTTS)
This condition occurs only in those identical twins that are monochorionic, diamniotic  The single placenta contains blood vessel connections between the twins and in 15 percent to 20 percent of monochorionic, diamniotic twins, the blood flow through these blood vessel connections becomes unbalanced. In TTTS, the smaller twin (often called the donor twin) does not get enough blood while the larger twin (often called the recipient twin) becomes overloaded with too much blood. Learn more

Urinary Tract Obstruction
Abnormalities of the genitals and urinary tract are among the most common birth defects, affecting as many as one in 10 babies. Male fetuses can have an obstruction to the flow of urine out the bladder, causing urine to back up and damage the kidneys. Consequently, the amniotic fluid becomes filled with disproportionate amounts of urine, and the low amniotic fluid levels cause inadequate lung development. In the event of renal and pulmonary failure, this fetal condition can be life threatening.