{"id":382,"date":"2015-11-04T00:00:00","date_gmt":"2015-11-03T23:00:00","guid":{"rendered":"http:\/\/semmelweis.hu\/symposium\/whether-pre-term-caesarean-section-is-necessary-because-of-urinary-tract-dilatation\/"},"modified":"2015-11-06T13:33:22","modified_gmt":"2015-11-06T12:33:22","slug":"whether-pre-term-caesarean-section-is-necessary-because-of-urinary-tract-dilatation","status":"publish","type":"page","link":"https:\/\/semmelweis.hu\/symposium\/szimpozium-archiv\/symposium2009-semmelweis\/temak\/whether-pre-term-caesarean-section-is-necessary-because-of-urinary-tract-dilatation\/","title":{"rendered":"Whether Pre-Term Caesarean Section is Necessary Because of Urinary Tract Dilatation?"},"content":{"rendered":"\n<p>L\u00e1szl\u00f3 SZAB\u00d31,7,8, Zsuzsanna SZ\u00c9KHELYI2,<br \/> P\u00e9ter BERK\u00d53,7, B\u00e9la LOMBAY4,7, Gyula R\u00c9TI5,<br \/> Andr\u00e1s KISS6, Mikl\u00f3s MERKSZ6<\/p>\n<p><em>1Pediatric Nephrology, Borsod County University Hospital, Miskolc, Hungary<br \/> 2Neonatology, Borsod County University Hospital, Miskolc, Hungary<br \/> 3Gynecology and Maternity Centre, Borsod County University Hospital, Miskolc, Hungary<br \/> 4Pediatric Radiology, Borsod County University Hospital, Miskolc, Hungary<br \/> 5Pediatric Surgery and Urology, Borsod County University Hospital, Miskolc, Hungary<br \/> 6Pediatric Urology, Heim P\u00e1l Children&#8217;s Hospital, Budapest, Hungary<br \/> 7Faculty of Health Science, University of Miskolc, Miskolc, Hungary<br \/> 8Postgraduate Institute of Child Health, University of Debrecen, Miskolc, Hungary<\/em><\/p>\n<p><em>Hypothesis<\/em>: Pre-term caesarean section is unrequired in order to<br \/> enable the operation of dilatation of urinary tract in neonate.<\/p>\n<p><em>Methods<\/em>: A retrospective analysis of the patients of two large casevolume<br \/> paediatric institutions. In a period of 5 years, 329 neonates<br \/> were followed due to intrauterine diagnosis of urinary tract dilatations<br \/> (197 at the Department of Urology, Heim P\u00e1l Children&#8217;s Hospital in<br \/> Budapest, whereas in Miskolc 132), including 13 cases where the urological<br \/> anomaly was the indication for pre-term induction of labour.<\/p>\n<p><em>Results<\/em>: Of the 13 neonates who had been delivered prematurely,<br \/> none were operated before the postconceptional age of 40 weeks,<br \/> and 3 subsequently required no surgical intervention. Two<br \/> neonates developed life-threatening conditions that presumably<br \/> could have been avoided without the premature caesarean section.<\/p>\n<p><em>Conclusions<\/em>: There are several arguments against pre-term delivery:<br \/> 1. Prenatal diagnostics does not always yield as accurate information<br \/> as the diagnostic procedures performed in infancy; 2.<br \/> Intrauterine urinary tract dilatation often resolve spontaneously,<br \/> superseding the need for both pre- and post-natal surgical interventions.<br \/> 3. Scientific observations have confirmed that there is no difference<br \/> between the efficacy of postnatal and pre-term interventions.<br \/> Based on the above-mentioned, authors emphasize that this<br \/> outdated practice can no longer be accepted, and call for good<br \/> cooperation between the obstetrician, the paediatric urologist and<br \/> nephrologist, to coordinate the management of the case.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u00e1szl\u00f3 SZAB\u00d31,7,8, Zsuzsanna SZ\u00c9KHELYI2, P\u00e9ter BERK\u00d53,7, B\u00e9la LOMBAY4,7, Gyula R\u00c9TI5, Andr\u00e1s KISS6, Mikl\u00f3s MERKSZ6 1Pediatric Nephrology, Borsod County University Hospital, Miskolc, Hungary 2Neonatology, Borsod County University Hospital, Miskolc, Hungary 3Gynecology and Maternity Centre, Borsod County University Hospital, Miskolc, Hungary 4Pediatric Radiology, Borsod County University Hospital, Miskolc, Hungary 5Pediatric Surgery and Urology, Borsod County University Hospital, &hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":323,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-382","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/382","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/comments?post=382"}],"version-history":[{"count":1,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/382\/revisions"}],"predecessor-version":[{"id":398,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/382\/revisions\/398"}],"up":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/323"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/media?parent=382"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/categories?post=382"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/tags?post=382"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}