User:Unleash edits Elina/sandbox
Management following prenatal testing
[edit]The result of prenatal testing can change the management of a pregnancy even when the mother chooses to continue with the pregnancy.[1] Additional prenatal testing, referrals to specialists and counselling, treatment options and delivery plans can be a part of these changes.[1] For example, in the case of spina bifida diagnosed by a second trimester ultrasound, surgery soon after birth may help repair the defect.[1] However, depending on the specifics of the case, early surgical repair of the defect within the womb during the second trimester may be an option and may have better outcomes in the early life of the child.[1] Additionally, the delivery is planned to take place in a center equipped with tertiary neonatal care to handle the increased risk of complications at birth.[1] In many cases, such as those diagnosed with Down syndrome, there are resources available for expectant parents to help them prepare for the child.[2]
Prenatal testing can also reveal medical conditions affecting the mother that should be treated.[3] For example, mothers who develop gestational diabetes mellitus while pregnant are at increased risk for complications surrounding the pregnancy.[3] However, when this is diagnosed in the second trimester, the mother can undergo treatments such as diet, exercise, lifestyle changes, supplements or drugs.[3] Women who undergo lifestyle changes may reduce the likelihood of their babies being born large, but also risk an increased likelihood of inductions.[3]
- ^ a b c d e "Practice Bulletin No. 187". Obstetrics & Gynecology. 130 (6): e279–e290. December 2017. doi:10.1097/aog.0000000000002412. ISSN 0029-7844. PMID 29189693. S2CID 22487396.
- ^ Global Down Syndrome Foundation & National Down Syndrome Congress. "Prenatal Testing & Information About Down Syndrome" (PDF). National Down Syndrome Congress. Retrieved 2018-11-05.
- ^ a b c d Martis, Ruth; Crowther, Caroline A; Shepherd, Emily; Alsweiler, Jane; Downie, Michelle R; Brown, Julie (2018-08-14). "Treatments for women with gestational diabetes mellitus: an overview of Cochrane systematic reviews". Cochrane Database of Systematic Reviews. 2018 (8): CD012327. doi:10.1002/14651858.cd012327.pub2. ISSN 1465-1858. PMC 6513179. PMID 30103263.
Comments
[edit]Thanks for sharing these suggestions. I have a few notes:
- Can you add wikilinks to any terms (second trimester/spina bifida/ultrasound etc)? If they are already linked earlier in the WP article please disregard this!
- For this sentence: "For example, in the case of spina bifida diagnosed by a second trimester ultrasound, surgery soon after birth can help repair the defect." Are the surgeries always successful? If not, please re-phrase to reflect that this MAY be effective.
- For this sentence: "Prenatal testing can also reveal conditions to treat for the mother’s health." Can you re-phrase this to make it easier to understand? I think you need to specify "improving" the mother's health.
Great works so far! JenOttawa (talk) 17:08, 6 November 2018 (UTC)