Fetal hydropsia: challenges in etiologies
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/21259 |
Resumo: | Introduction: Fetal hydrops is defined as the presence of abnormal fluid collections in two or more extravascular fetal compartments and body cavities. There are about 150 different underlying causes known today potentially leading to this fetal alteration. Objective: To analyze the etiologies involved in the occurrence of cases of fetal hydrops. Methods: A systematic literature review was carried out using the MedLine, Pubmed and Scielo databases, from 2015 to 2021, using the expressions: "fetal, hydrop, etiologies." Discussion: Fetal hydrops is divided into immune and non-immune. Immune results from anemia secondary to erythroblastosis by alloimmunization, so when there is maternal exposure to fetal antigens, it generates an immune response that results in the production of antibodies. History of blood transfusions, previous births, trauma and a history of alloimmunization are characterized as risk factors. Thus, immunoprophylaxis with anti-D immunoglobulin is indicated for all RhD negative pregnant women, with RhD positive male partner, with abundant fetal maternal hemorrhage during childbirth or events with potential sensitizer in the prenatal period. Conclusion: For an effective treatment, it is essential to identify the type of fetal hydrops in the patient and then the etiology of the disease, which is quite variable in Non-Immune Fetal Hydrops. |
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Fetal hydropsia: challenges in etiologiesHidropsia fetal: desafíos en las etiologíasHidropsia fetal: desafios nas etiologiasHidropsiaFetalEtiologias.FetalHidropEtiologías.FetalHydropEtiologies.Introduction: Fetal hydrops is defined as the presence of abnormal fluid collections in two or more extravascular fetal compartments and body cavities. There are about 150 different underlying causes known today potentially leading to this fetal alteration. Objective: To analyze the etiologies involved in the occurrence of cases of fetal hydrops. Methods: A systematic literature review was carried out using the MedLine, Pubmed and Scielo databases, from 2015 to 2021, using the expressions: "fetal, hydrop, etiologies." Discussion: Fetal hydrops is divided into immune and non-immune. Immune results from anemia secondary to erythroblastosis by alloimmunization, so when there is maternal exposure to fetal antigens, it generates an immune response that results in the production of antibodies. History of blood transfusions, previous births, trauma and a history of alloimmunization are characterized as risk factors. Thus, immunoprophylaxis with anti-D immunoglobulin is indicated for all RhD negative pregnant women, with RhD positive male partner, with abundant fetal maternal hemorrhage during childbirth or events with potential sensitizer in the prenatal period. Conclusion: For an effective treatment, it is essential to identify the type of fetal hydrops in the patient and then the etiology of the disease, which is quite variable in Non-Immune Fetal Hydrops.Introducción: La hidropesía fetal se define como la presencia de colecciones anormales de líquido en dos o más compartimentos fetales extravasculares y cavidades corporales. Hay alrededor de 150 causas subyacentes diferentes conocidas hoy en día que potencialmente conducen a esta alteración fetal. Objetivo: Analizar las etiologías involucradas en la ocurrencia de casos de hidropesía fetal. Métodos: Se realizó una revisión bibliográfica sistemática utilizando las bases de datos MedLine, Pubmed y Scielo, de 2015 a 2021, utilizando las expresiones: "fetal, hidrop, etiologías". Discusión: La hidropesía fetal se divide en inmunes y no inmunes. La inmunidad resulta de la anemia secundaria a eritroblastosis por aloinmunización, por lo que cuando hay exposición materna a antígenos fetales, se genera una respuesta inmune que resulta en la producción de anticuerpos. Los antecedentes de transfusiones de sangre, nacimientos previos, traumatismos y antecedentes de aloinmunización se caracterizan como factores de riesgo. Así, la inmunoprofilaxis con inmunoglobulina anti-D está indicada para todas las gestantes RhD, con progenitor masculino RhD positivo, con abundante hemorragia materno-fetal durante el parto o eventos con potencial sensibilizante en el período prenatal. Conclusión: Para un tratamiento eficaz, es fundamental identificar el tipo de hidropesía fetal en el paciente y luego la etiología de la enfermedad, que es bastante variable en la hidropesía fetal no inmunitaria.Introdução: A hidropisia fetal é definida como a presença de coleções de fluidos anormais em dois ou mais compartimentos extravasculares fetais e do corpo cavidades. Existem cerca de 150 diferentes causas subjacentes conhecidas hoje potencialmente levando a esta alteração fetal. Objetivo: Analisar as etiologias envolvidas na ocorrência de casos de hidropsia fetal. Métodos: Realizada uma revisão sistemática da literatura por meio das bases de dados MedLine, Pubmed e Scielo, entre o período de 2015 a 2021, utilizando as expressões: “Hidropsia, fetal, etiologias." Discussão: Divide-se a hidropsia fetal em imune e não imune. A imune resulta da anemia secundária a eritroblastose por aloimunização, dessa forma quando há uma exposição materna a antígenos fetais, gera uma resposta imunológica que resulta na produção de anticorpos. Antecedentes de transfusões sanguíneas, partos prévios, traumas e história prévia de aloimunização são caracterizados como fatores de risco. Dessa forma, a imunoprofilaxia com imunoglobulina anti-D está indicada para todas grávidas RhD, com progenitor masculino RhD positivo, com hemorragia materno fetal abundante durante o parto ou eventos com potencial sensibilizador no período pré natal. Conclusão: Para um tratamento efetivo, é fundamental a identificação do tipo de hidropsia fetal do paciente e, em seguida, a etiologia da doença, a qual é bastante variável na Hidropsia Fetal Não Imune.Research, Society and Development2021-10-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2125910.33448/rsd-v10i13.21259Research, Society and Development; Vol. 10 No. 13; e247101321259Research, Society and Development; Vol. 10 Núm. 13; e247101321259Research, Society and Development; v. 10 n. 13; e2471013212592525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/21259/18875Copyright (c) 2021 Rebeca Fernandes de Azevedo Dantas; Thais Regina Santos; Maria Eduarda Barillari Cano; Maria Eduarda Baracuhy Cruz Chaves; Arlley Cleverson Belo da Silvahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessDantas, Rebeca Fernandes de Azevedo Santos, Thais ReginaCano, Maria Eduarda Barillari Chaves, Maria Eduarda Baracuhy Cruz Silva, Arlley Cleverson Belo da 2021-11-21T18:26:28Zoai:ojs.pkp.sfu.ca:article/21259Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:40:42.986428Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Fetal hydropsia: challenges in etiologies Hidropsia fetal: desafíos en las etiologías Hidropsia fetal: desafios nas etiologias |
title |
Fetal hydropsia: challenges in etiologies |
spellingShingle |
Fetal hydropsia: challenges in etiologies Dantas, Rebeca Fernandes de Azevedo Hidropsia Fetal Etiologias. Fetal Hidrop Etiologías. Fetal Hydrop Etiologies. |
title_short |
Fetal hydropsia: challenges in etiologies |
title_full |
Fetal hydropsia: challenges in etiologies |
title_fullStr |
Fetal hydropsia: challenges in etiologies |
title_full_unstemmed |
Fetal hydropsia: challenges in etiologies |
title_sort |
Fetal hydropsia: challenges in etiologies |
author |
Dantas, Rebeca Fernandes de Azevedo |
author_facet |
Dantas, Rebeca Fernandes de Azevedo Santos, Thais Regina Cano, Maria Eduarda Barillari Chaves, Maria Eduarda Baracuhy Cruz Silva, Arlley Cleverson Belo da |
author_role |
author |
author2 |
Santos, Thais Regina Cano, Maria Eduarda Barillari Chaves, Maria Eduarda Baracuhy Cruz Silva, Arlley Cleverson Belo da |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Dantas, Rebeca Fernandes de Azevedo Santos, Thais Regina Cano, Maria Eduarda Barillari Chaves, Maria Eduarda Baracuhy Cruz Silva, Arlley Cleverson Belo da |
dc.subject.por.fl_str_mv |
Hidropsia Fetal Etiologias. Fetal Hidrop Etiologías. Fetal Hydrop Etiologies. |
topic |
Hidropsia Fetal Etiologias. Fetal Hidrop Etiologías. Fetal Hydrop Etiologies. |
description |
Introduction: Fetal hydrops is defined as the presence of abnormal fluid collections in two or more extravascular fetal compartments and body cavities. There are about 150 different underlying causes known today potentially leading to this fetal alteration. Objective: To analyze the etiologies involved in the occurrence of cases of fetal hydrops. Methods: A systematic literature review was carried out using the MedLine, Pubmed and Scielo databases, from 2015 to 2021, using the expressions: "fetal, hydrop, etiologies." Discussion: Fetal hydrops is divided into immune and non-immune. Immune results from anemia secondary to erythroblastosis by alloimmunization, so when there is maternal exposure to fetal antigens, it generates an immune response that results in the production of antibodies. History of blood transfusions, previous births, trauma and a history of alloimmunization are characterized as risk factors. Thus, immunoprophylaxis with anti-D immunoglobulin is indicated for all RhD negative pregnant women, with RhD positive male partner, with abundant fetal maternal hemorrhage during childbirth or events with potential sensitizer in the prenatal period. Conclusion: For an effective treatment, it is essential to identify the type of fetal hydrops in the patient and then the etiology of the disease, which is quite variable in Non-Immune Fetal Hydrops. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-10 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/21259 10.33448/rsd-v10i13.21259 |
url |
https://rsdjournal.org/index.php/rsd/article/view/21259 |
identifier_str_mv |
10.33448/rsd-v10i13.21259 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/21259/18875 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 13; e247101321259 Research, Society and Development; Vol. 10 Núm. 13; e247101321259 Research, Society and Development; v. 10 n. 13; e247101321259 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052756741062656 |