Abstract
The natural history of moderate-severe ventriculomegaly: A review of cases managed expectantly in an Irish tertiary Centre
Highlights
Prenatal counselling for cerebral ventriculomegaly is challenging due to varied factors and prognoses
Vaginal delivery was achieved in 28.9% of women with 71.1% undergoing caesarean
The presence of ventriculomegaly had a significant impact on the mode of delivery and maternal morbidity
Summary
Prenatal counselling for cerebral ventriculomegaly is challenging due to varied factors and prognoses. We sought to review the prenatal course, obstetric and paediatric outcomes in cases of moderate to severe cerebral ventriculomegaly in an Irish tertiary maternity unit. Is a pathological condition where the fetal cerebral lateral ventricles are enlarged. The incidence of isolated ventriculomegaly is reported 0.5-1.5 per 1000 pregnancies [3] This is defined as mild (10-12 mm), moderate (12-15 mm) and severe (>15 mm) [1,4]. There is limited data about the antenatal course and obstetric outcome of pregnancies affected by moderate to severe ventriculomegaly, which are managed expectantly. Prenatal counselling for cerebral ventriculomegaly >12 mm is challenging due to the variable factors and prognoses [5,6,7,8]. Current recommended investigations include ultrasonographic assessment, maternal TORCH screening, Magnetic resonance imaging (MRI) evaluation and specialized paediatric postnatal follow-up [14,15]
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