ultrasound diagnosis of fatal anomalies

ABDOMEN
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smaller omphaloceles, vaginal delivery is
possible and here there is no indication for cesarean
delivery.
Procedure after birth: The omphalocele should
be covered immediately with a sterile plastic bag
to avoid fluid loss. A nasogastric tube should be
placed to remove stomach contents. Early surgical
intervention within the first week. The earlier
practice of smearing a sterile antiseptic solution
on the lesion and delaying surgical intervention
has ceased to be used except in rare
cases of an extremely large omphalocele.
Prognosis: This is determined by the presence of
associated anomalies and the extent of the lesion.
The overall survival lies between 30–70%.
In a small isolated case of omphalocele, the prognosis
is very good (mortality below 5%). The
mortality increases considerably ( 30%) if the
defect is large ( 5 cm in the second trimester)
and if the liver is prolapsed, even if no other
anomalies are present.
Information for the mother: Surgical correction
is very successful nowadays. If rare cases of large
lesions with liver protrusion, associated malformations
and chromosomal anomalies are excluded,
then the long-term survival of the infant
is very good, without significant long-term impairment.
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