However, there are now a number of conditions where in utero therapy may be offered in specialist fetal medicine units. This has only been possible due to recent advances in imaging as well as ultrasound-guided or fetoscopic techniques. The goal of fetal surgery is to interrupt the in utero progression of an otherwise treatable condition and improve perinatal outcome in the neonate. However, it must be stated that many of the techniques of fetal surgery have not been tested in randomized control studies and until they have been, the ability to treat in utero may not necessarily be the best option for the mother or fetus. It is also important that these new techniques are tested against current conservative management and not historical data, as neonatal care and post-natal outcomes have improved dramatically over the last two decades as demonstrated by the data on management of congenital diaphragmatic hernias . Below are detailed some of the conditions that have been treated in utero and a summary of the evidence for treatment.
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Once your pregnancy is over and done with, your baby is happily in your arms, and youre headed back home from the hospital, youll begin to realize that things have only just begun. Over the next few days, weeks, and months, youre going to increasingly notice that your entire life has changed in more ways than you could ever imagine.