ATLANTA PEDIATRIC SURGERY, INC./
EMORY UNIVERSITY SCHOOL OF MEDICINE, DIVISION OF PEDIATRIC SURGERY

 

 

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Prenatal Visits

We encourage and are very happy to meet with expectant parents to discuss surgical problems which have been diagnosed in their infant prenatally. Almost all pregnant women now get an ultrasound as part of their prenatal management. Occasionally these demonstrate anomalies which will require surgical repair after the baby is born. In very rare instances, intrauterine surgery may be needed. We, as specialists in neonatal surgery, can thoroughly explain surgical conditions to the expectant parents. We will discuss with the parent:

1. How the condition occurred
2. How it is affecting the development of the baby
3. What other problems might be associated with this condition
4. The options for the mode and place of delivery (C-section versus vaginal delivery)
5. How the baby will be treated immediately after delivery
6. How the baby will be transported to the Children's hospital for surgery
7. What we will do at the time of surgery
8. Potential complications of the surgical procedure
9. The short- and long-term prognosis for their baby

The prenatal visit also gives parents a chance to meet the surgeon who will be taking care of their baby. Many surgical conditions in babies require emergency surgery. Mothers often must remain in the referring hospital while their baby is transferred to Children's for surgical care. By meeting with us ahead of time, the mother knows who will be operating on her baby. The mother will have already had a chance to ask her questions and will already have a working knowledge about what will happen to her baby; this brings mothers a certain sense of relief during this most stressful time.
Surgical conditions which are frequently diagnosed in-utero and for which a prenatal visit with a pediatric surgeon is appropriate include:

1. Gastroschisis
2. Omphalocele
3. Diaphragmatic hernia
4. Cystic hygroma
5. Esophageal atresia
6. Cystic adenomatoid malformation of the lung
7. Intestinal obstruction
8. Ascites
9. Tumors
10. Teratomas

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