Defeitos do Tubo Neural. Experiência de 10 Anos numa Maternidade Central
Autor(a) principal: | |
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Data de Publicação: | 1994 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/631 |
Resumo: | OBJECTIVES: 1) To determine trends in prevalence of neural tube defects and the impact of therapeutic abortion. 2) To review perinatal management of spina bifida. DESIGN: All spontaneous and therapeutic abortions, still births and live births affected by neural tube defects registered in Alfredo da Costa Maternity in Lisbon, from 1983 to 1992, were retrospectively analysed. RESULTS: Eighty-two cases with neural tube defects are reported and myelomeningocele and anencephaly++ were the most frequent ones. Total prevalence for all defects was 0.78:1000 births with a small upward trend during the last two years. Birth prevalence was 0.6:1000, with a clear downward trend, due to therapeutic abortion. Prenatal diagnosis improved significantly, from 9% of all defects detected in 1983-87 to 77.5% in 1988-92. Since 1989, all cases of anencephaly were detected before birth. Most cases of spina bifida were vaginally delivered, and elective cesarean section occurred in 4. Early closure of the defect was undertaken in 87.6% of the newborns with open spina bifida. CONCLUSION: While total prevalence of neural tube defects remained stable, with only a small upward trend, prenatal diagnosis and therapeutic abortion resulted in a 56.3% fall in birth prevalence. Optimal management of open spina bifida demands a multidisciplinary team with an individual program for each case. |
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Defeitos do Tubo Neural. Experiência de 10 Anos numa Maternidade CentralNeural Tube Defects. The 10-Year Experience of a Central Maternity HospitalDoenças FetaisMaternidade Dr. Alfredo da CostaEstatísticaDefeitos do Tubo NeuralPortugalGravidezDiagnóstico Pré-NatalPrevalênciaEstudos RetrospectivosMAC PEDOBJECTIVES: 1) To determine trends in prevalence of neural tube defects and the impact of therapeutic abortion. 2) To review perinatal management of spina bifida. DESIGN: All spontaneous and therapeutic abortions, still births and live births affected by neural tube defects registered in Alfredo da Costa Maternity in Lisbon, from 1983 to 1992, were retrospectively analysed. RESULTS: Eighty-two cases with neural tube defects are reported and myelomeningocele and anencephaly++ were the most frequent ones. Total prevalence for all defects was 0.78:1000 births with a small upward trend during the last two years. Birth prevalence was 0.6:1000, with a clear downward trend, due to therapeutic abortion. Prenatal diagnosis improved significantly, from 9% of all defects detected in 1983-87 to 77.5% in 1988-92. Since 1989, all cases of anencephaly were detected before birth. Most cases of spina bifida were vaginally delivered, and elective cesarean section occurred in 4. Early closure of the defect was undertaken in 87.6% of the newborns with open spina bifida. CONCLUSION: While total prevalence of neural tube defects remained stable, with only a small upward trend, prenatal diagnosis and therapeutic abortion resulted in a 56.3% fall in birth prevalence. Optimal management of open spina bifida demands a multidisciplinary team with an individual program for each case.Centro Editor e Livreiro da Ordem dos MédicosRepositório do Centro Hospitalar Universitário de Lisboa Central, EPETeixeira, ALLoreto, HMachado, MCRamos de Almeida, JM2012-08-30T14:35:16Z19941994-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/631porActa Med Port. 1994 Jul-Aug;7(7-8):419-25info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:27:28Zoai:repositorio.chlc.min-saude.pt:10400.17/631Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:18:22.575434Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Defeitos do Tubo Neural. Experiência de 10 Anos numa Maternidade Central Neural Tube Defects. The 10-Year Experience of a Central Maternity Hospital |
title |
Defeitos do Tubo Neural. Experiência de 10 Anos numa Maternidade Central |
spellingShingle |
Defeitos do Tubo Neural. Experiência de 10 Anos numa Maternidade Central Teixeira, AL Doenças Fetais Maternidade Dr. Alfredo da Costa Estatística Defeitos do Tubo Neural Portugal Gravidez Diagnóstico Pré-Natal Prevalência Estudos Retrospectivos MAC PED |
title_short |
Defeitos do Tubo Neural. Experiência de 10 Anos numa Maternidade Central |
title_full |
Defeitos do Tubo Neural. Experiência de 10 Anos numa Maternidade Central |
title_fullStr |
Defeitos do Tubo Neural. Experiência de 10 Anos numa Maternidade Central |
title_full_unstemmed |
Defeitos do Tubo Neural. Experiência de 10 Anos numa Maternidade Central |
title_sort |
Defeitos do Tubo Neural. Experiência de 10 Anos numa Maternidade Central |
author |
Teixeira, AL |
author_facet |
Teixeira, AL Loreto, H Machado, MC Ramos de Almeida, JM |
author_role |
author |
author2 |
Loreto, H Machado, MC Ramos de Almeida, JM |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Teixeira, AL Loreto, H Machado, MC Ramos de Almeida, JM |
dc.subject.por.fl_str_mv |
Doenças Fetais Maternidade Dr. Alfredo da Costa Estatística Defeitos do Tubo Neural Portugal Gravidez Diagnóstico Pré-Natal Prevalência Estudos Retrospectivos MAC PED |
topic |
Doenças Fetais Maternidade Dr. Alfredo da Costa Estatística Defeitos do Tubo Neural Portugal Gravidez Diagnóstico Pré-Natal Prevalência Estudos Retrospectivos MAC PED |
description |
OBJECTIVES: 1) To determine trends in prevalence of neural tube defects and the impact of therapeutic abortion. 2) To review perinatal management of spina bifida. DESIGN: All spontaneous and therapeutic abortions, still births and live births affected by neural tube defects registered in Alfredo da Costa Maternity in Lisbon, from 1983 to 1992, were retrospectively analysed. RESULTS: Eighty-two cases with neural tube defects are reported and myelomeningocele and anencephaly++ were the most frequent ones. Total prevalence for all defects was 0.78:1000 births with a small upward trend during the last two years. Birth prevalence was 0.6:1000, with a clear downward trend, due to therapeutic abortion. Prenatal diagnosis improved significantly, from 9% of all defects detected in 1983-87 to 77.5% in 1988-92. Since 1989, all cases of anencephaly were detected before birth. Most cases of spina bifida were vaginally delivered, and elective cesarean section occurred in 4. Early closure of the defect was undertaken in 87.6% of the newborns with open spina bifida. CONCLUSION: While total prevalence of neural tube defects remained stable, with only a small upward trend, prenatal diagnosis and therapeutic abortion resulted in a 56.3% fall in birth prevalence. Optimal management of open spina bifida demands a multidisciplinary team with an individual program for each case. |
publishDate |
1994 |
dc.date.none.fl_str_mv |
1994 1994-01-01T00:00:00Z 2012-08-30T14:35:16Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/631 |
url |
http://hdl.handle.net/10400.17/631 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Acta Med Port. 1994 Jul-Aug;7(7-8):419-25 |
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info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Centro Editor e Livreiro da Ordem dos Médicos |
publisher.none.fl_str_mv |
Centro Editor e Livreiro da Ordem dos Médicos |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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