What Happens When a Baby in Womb Has Its Organs Developing Outside the Body
Omphalocele is a birth defect in a baby'south abdominal (belly) wall that develops before they are built-in. It is a rare status causing an infant'southward intestines or other intestinal organs, such every bit the liver and spleen, to stick outside of the belly through the umbilical string. These organs are covered with a thin, nearly transparent sac, which is one of the ways omphalocele differs from gastroschisis, a similar defect.
Typically, during week vi to 10 of pregnancy, a baby'south intestines get longer and push out from the belly into the umbilical cord. The intestines then go back into the belly by week 11. If this does not happen, an omphalocele occurs. An omphalocele can be small, with simply some of the intestines outside of the belly, or information technology can exist big or "giant", with many organs outside of the belly.
At the SSM Health Fundamental Glennon St. Louis Fetal Care Institute, we sympathise the feet and worry you may have nearly a diagnosis of omphalocele. Our doctors are specially trained to help you and your baby, providing the advanced monitoring and treatment you need to give your baby the best start in life.
Currently, there is no prenatal handling for omphalocele. However, we monitor babies closely throughout gestation and provide surgical treatment for omphalocele after your baby is born.
How is an Omphalocele Diagnosed During Pregnancy?
An omphalocele is typically diagnosed during a routine ultrasound as early as week 12. When you are referred to the Central Glennon St. Louis Fetal Care Institute, our squad of specialists will perform an in-depth evaluation to determine the size and severity of your baby's omphalocele and screen for the possibility of any other nativity defects. This evaluation may include:
- Detailed ultrasound: provides a visual evaluation of your growing baby's anatomy, your womb and blood flow
- Fetal MRI: used in add-on to an ultrasound to gather more focused images of your growing baby
- Fetal echocardiogram (echo): an ultrasound that assesses the function of your baby's eye
- Karyotype: a chromosome analysis to determine a possible genetic cause
- Claret or serum screenings
This comprehensive evaluation will help doctors decide the best treatment for your baby.
Throughout your pregnancy, your nurse coordinator will adapt for y'all to run into with squad of specialists who will monitor the health of you and your baby and program the safest birthing and treatment plan. This team will include physicians, such as a maternal fetal medicine specialist, neonatologist and pediatric surgeon, along with a genetic counselor, social worker and sonographer. Y'all will also learn more nigh our neonatal intensive care unit of measurement (NICU), where your baby will be cared for later delivery, and surgical repair of the omphalocele.
What Are The Handling Options For Omphaloceles?
For modest and medium-sized omphaloceles, a single operation to close the abdominal wall is typically effective. During this process, the pediatric surgeon carefully places the organs back into the abdominal crenel, then closes the opening past bringing the muscles together. Sometimes a constructed patch is required to close the pigsty in the abdominal wall.
In cases of a large omphalocele, the procedure is more complex. Often there is no infinite in the abdomen to replace the organs. As a result, the omphalocele sac is dressed like a wound and allowed to heal, becoming covered with skin over fourth dimension. In one case covered with peel, the healing process to close the omphalocele can be a long i, requiring a few operations over several months to years. This allows your infant to abound and heal between surgeries.
How Will An Omphalocele Bear upon My Infant Later on Commitment And Surgery?
Depending on the severity of the omphalocele, your baby may feel complications ranging from mild to astringent. If in that location are no other defects and the omphalocele is modest, your baby is likely to practise very well later surgery and develop normally. Still, if the omphalocele is also accompanied by other nativity defects, complications are more than likely to occur.
About 30% of babies with omphalocele have a genetic defect. This can affect a baby's long-term development. Many besides accept heart defects, which may crave surgery. Babies with big omphaloceles will likely accept other challenges afterwards birth, including difficulties with lung development and feeding. These issues tin cause a need for mechanical ventilation, tube feeding and a longer hospitalization.
If your child requires extra feeding support, the Glennon Intestinal Rehabilitation and Feeding (GIRAF) team can provide ongoing, coordinated care to ensure your child gets the the nutrition needed to grow and develop.
From your first appointment to your last, our fetal and baby specialists at SSM Wellness are available to care for y'all and your baby's complex needs. Our multi-disciplinary team collaborates across our hospital to provide your infant the specialized care they require.
We empathise that omphalocele can be a scary diagnosis. That'south why nosotros're available to help 24 hours a solar day, 7 days a week. For more data or to schedule an appointment, call u.s.a. at 314-268-4037 or cost free at 877-SSM-FETL (877-776-3385).
While nosotros can't change the diagnosis, we tin can provide you expert care and support, helping your babe get the most out of treatment and life.
Source: https://www.ssmhealth.com/cardinal-glennon/fetal-care-institute/abdomen-intestines/omphalocele
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