Developments in obstetrics allows to provide intervention therapy with intra-uterine fetal. Therapy with intra-uterine intervention allows doctors to provide treatment in fetuses without major surgery.
Therapy with intra-uterine intervention is specifically to correct abnormalities in the fetus caused by a congenital defect. Congenital defects can be caused by genetic or environmental factors. But according to obstetrician Bintaro Premier Hospital (RSPB) dr. Nurwansyah, Sp.OG, up 80 percent did not know the cause of congenital defects.
"Congenital defects caused by multi factorial, so it has yet to be known," said the doctor Nurwansyah the seminar titled "Updates in Maternal - Fetal Medicine" on Saturday (04/06/2013) at RSPB Tangerang. Even viruses like toxoplasmosis, further Nurwansyah, it very rarely causes birth defects, ie less than 1 percent.
So, in anticipation of the birth defects in the fetus, required therapy with intra-uterine intervention preceded by ultrasonography (USG). Ultrasound examination aims to detect the presence of congenital malformations in the fetus.
"Diagnosis of the sonogram is most important because it determines what the next action is done," said Nurwansyah.
Some abnormalities in the fetus do therapy with intra-uterine intervention that fetal anemia. Fetal anemia can occur if there are differences in rhesus mother to fetus. The rhesus difference will cause the fetus does not get the nutrients from the mother's blood because the mother's body to form antibodies against fetal blood.
"If left unchecked, the fetus only survive a maximum of up to seven months and died," said Nurwansyah.
He continued, therapy for this case is by immunization of the mother so as not to produce antibodies in the form of anti-rhesus.
Unisex hidrothorax abnormalities, the presence of fluid in the thoracic cavity. Fluid can be removed with immediate insertion in that section. Neither the hidrocepalus, which is excess fluid in the brain.
In addition to several disorders caused by congenital defects already mentioned, there's more abnormalities that allow to do therapy with intra-uterine intervention. However, those other disorders that require treatment.
Nurwansyah explained, there are several categories of diagnoses that would require different treatment. If the stunted growth of correction, one of them with therapy. For developing disease, it is necessary to accelerate the birth.
There's even better made abortion because the fetus does not allow a state to live well and healthy after being born. "However, this decision is often still a dilemma and irony," said Nurwansyah.