| Show Herald Journal Logan Utah Thursday Novembers 30-- The 19SI Predicting and treating illnesses in tiniest patients Patricia McCormack UPlhealth editor By the spinal cord does not close completely - NEW YORK (UPI) This Is the era of in utero diagnosis and in some cases treatment in the womb of the tiniest patient of all the human fetus An update of prenatal diagnosis and treatment by the American College of Radiology was replete with such words as amniocentesis ultrasound and fetoscopy All are precise and sophisticated diagnostic tools physicians now use to detect in utero a range of fetal abnormalities These range from Down’s syndrome a form of genetically-causemental retardation to spina bifida — a condition in which the bony enclosure of so-call- ed d Radiologists who specialize in fetology — the study and care of the fetus — told science writers fetal diagnosis and intervention can markedly improve the outlook for some children with correctable defects One panelist Dr Carol M Rumack assistant professor of radiology and pediatrics at the University of Colorado School of Medicine in Denver said she and her colleagues found a potentially fatal kidney obstruction in a fetus while performing a routine ultrasound scan of the mother’s womb The doctor said had the defect not been found and the baby been delivered normally it probably would have died of kidney damage ek Other prenatal accomplishments cited include: —Intrauterine correction of a urinary tract blockage in a twin fetus —Intrauterine drainage of excess fluid in the fetal chest abdomen and lung —Intrauterine transfusions of red blood cells to fetuses suffering from the Rh incompatability illnesses —Selective abortion of a twin fetus suffering from Down’s syndrome a congenital form of mental retardation Here are definitions of some of the diagnostic techniques utilized in looking in on the tiniest patient: 1 Amniocentesis This involves puncturing the amniotic sac to withdraw then analyse a small sample of amniotic fluid that makes up the fetus’ watery To save the life the doctors induce labor a month early and corrected the defect within 24 hours after birth Dr Rumack said the baby is healthy today Also at the Denver facility radiologists were able to drain excess fluid from the brain of a fetus with hydrocephalus — excess water in the brain cavities Pressure from same leads to mental retardation seizures and other developmental ailments In another in utero treatment Dr Jason C Birnholz an associate professor at Harvard Medical School and radiologist at Brigham and Women’s Hospital in Boston corrected fetal hydrocephalus by performing a series of six punctures in the fetal skull — to drain the water and relieve pressure on the fetus’ brain prenatal environment in the womb 2 Ultrasound This is a technique that helps guide doctors puncturing thee amniotic sac They must be careful not to hit the fetus or its eyes or heart an so forth Ultra sound enables radiologists to image of the fetus get a television-scree- n and the placenta — through the production and transmission of sound waves Ultrasound is an technique That is it does not entail enterinjg the womb As a result that technology is growing in popularity as a routine prenatal Doctors at the diagnostic technique forum said it is especially recommended as a trouble check when the mother-to-b- e has diabetes hypertension or previously has had a troubled pregnancy “non-invasiv- e” HOME ENTERTAINMENT CENTER Owned und operated by Lynn llaneey Register for free prizes The lucky winner may be you 'At Video cassette recorder Blank video cassettes C a v-- - 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