Causes of Fetal Hydrops
This is defined as skin oedema and fluid in one other potential space, e.g. pericardial, pleural or peritoneal.
· Immune- Secondary hemolysis of fetal cells by maternal antibodies, e.g. Rhesus disease, Kell antibodies.
· Non-immune
· Cardiovascular- Arrhythmias, both tachyarrhythmias and heart block. Anatomic defects — hypoplastic left heart, Ebstein anomaly, pulmonary aortic atresia, etc. Cardiomyopathy
Endocardial fibroelastosis
Myocarditis (coxsackieviru,CMV)
Tumor — rhabdomyoma.
· Pulmonary-
Diaphragmatic hernia (fig. 1)
Cystic adenomatoid malformation
Chylothorax
Pulmonary sequestration.
Fig. 1
· Chromosomal-
Trisomy 21
Turner's syndrome
Triploidy.
· Hematologic- a Thalassemia.
· Infections-
CMV
Toxoplasmosis
Parvovirus
Rubella (Fig. 2)
Coxsackievirus
Herpes simplex
Respiratory syncytial virus.
Fig. 2
· Neopplastic-
Neuroblastoma
Teratoma
Congenital leukemia.
· Liver-
Hepatic fibrosis
Hepatic vascular abnormality
Hemangioendothelioma.
· Metabolic-
Gaucher’s disease
Gangliosidosis
Hurler’s syndrome
Mucolipidosis. (Fig. 3)
Fig. 3
· Cranial-
Vein of Galen aneurysm.
· Skeletal-
Achondroplasia
Achondrogenesis
Osteogenesis imperfecta
Thanatophoric dysplasia
Short rib—polydactyly syndrome
Asphyxiating thoracic dysplasia
Conradi’s syndrome.
· Muscular-
Pena—Shokeir syndrome
Pterygium syndrome
Arthrogryposis multiplex. (Fig. 4)
Fig. 4
· Syndromes-
Noonan's
Neu-Laxova
· Maternal-
Severe anemia
Hypoproteinemia
Back to Fetal Wellbeing and Growth