Morphological characteristics and postnatal prognostic value of isolated fetal ventriculomegaly at Hanoi Obstetrics and Gynecology Hospital
Main Article Content
Abstract
Isolated fetal ventriculomegaly is a common morphological abnormality detected on the second and third-trimester ultrasound. A cross-sectional descriptive study was conducted on 119 fetuses diagnosed with isolated ventriculomegaly at Hanoi Obstetrics and Gynecology Hospital from January 2022 to December 2023, aiming to describe morphological characteristics and evaluate the association between prenatal ultrasound features and postnatal ventricular status. Mean gestational age at diagnosis was 27.52 ± 5.52 weeks; 68.1% had mild condition, 50.4% were unilateral. Among 20 amniocentesis cases, 15% had genetic abnormalities (3/20 cases), all of which occurred in bilateral cases. Of 99 live births, 85.86% had normal ventricles postnatally. Prenatal severity predicted postnatal outcome: persistent ventriculomegaly rates were 75% for severe, 22.7% for moderate, and 8.2% for mild cases (p = 0.002). At 6 months, only 2.02% had persistent ventriculomegaly. Mild and unilateral isolated ventriculomegaly had excellent postnatal prognosis.
Article Details
Keywords
Isolated ventriculomegaly, prenatal ultrasound, postnatal prognosis, genetic abnormalities
References
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