Prenatal diagnosis and management of meconium peritonitis.

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Four cases of meconium peritonitis (MP), which were diagnosed during pregnancy, were reported and its prenatal diagnosis and management were discussed. Three new born babies survived (mortality 25%) and intestinal obstruction was verified in one baby and needed surgical treatment, but no intestinal obstruction was identified in other two babies. When MP is diagnosed by its characteristic ultrasonographic findings and squamous cells are identified in fetal ascites, we suggest the amniofetography in order to determine wheather it is obstructive type or non -obstructive type, which typing is very important in the postnatal management. And also chromosomal and other anomalies should be detected. In the management of MP, appropriate aspiration of amniotic fluid and fetal ascites during pregnancy are sometimes needed and important to prevent preterm labor and fetal cardiac failure till fetus will maturate enough. [Adv Obstet Gynecol 48 (5); 535--542, 1996 (H8.9)]
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