Anaesthesic considerations in fetal therapy

Abstract

Fetal therapy is a rapidly changing sub speciality, carried out in only a few specialist tertiary centres requiring multi disciplinary teamwork. It is being used to treat an increasing number of lethal and non-lethal fetal conditions. There are ongoing trials which require us to be up to date with literature and evolving techniques. Advances in diagnosis using ultrasound and magnetic resonance imaging (MRI) have led to a more accurate diagnosis and earlier detection of fetal abnormalities. In this chapter we will be discussing Twin-twin Transfusion syndrome, critical fetal aortic stenosis, congenital diaphragmatic hernia, lower urinary tract obstruction, congenital lung malformations and Ex utero intrapartum treatment procedure. We will also be looking at reasons to consider the need for both maternal and fetal analgesia, and the need for tocolysis in preventing pre term labour.