Congenital cystic adenomatous malformation (CCAM) is a space occupying cystic lesion of the lungs that can lead to cardiac failure by causing mediastinal shift leading to cardiac and vascular compression. Fetuses that develop hydrops with CCAM have a very poor prognosis which can be improved by in utero open hysterotomy and resection of the CCAM with improved survival (60%) . However, less invasive procedures such as cyst aspiration or cyst shunting may also be considered before open hysterotomy.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.