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Medical (Transplacental) Therapy

Transplacental medical therapy is performed by giving the mother medicine that in turn passes to the fetus by crossing the placenta. The most common transplacental treatment in obstetrics is maternal steroids administration to promote fetal organ maturation in cases of threatening premature birth.

Certain biochemical and endocrine fetal disorders can be treated by transplacental therapy. Transplacental medical therapy can also be utilized to treat life threatening fetal cardiac arrhythmias using antiarrhythmic agents such as digoxin or flecainide. This treatment poses some risks to the mother, and should be done in close collaboration with a cardiologist. Another example of a fetal treatment via the transplacental route is maternal administration of intravenous immunoglobulin and steroids for pregnancies complicated by alloimmune thrombocytopenia.

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Cole Landry's Story: 2009

The Landry family.

Dr. Ramen Chmait performed the the fourth successful procedure worldwide to shrink a congenital cystic adenomatiod malformation (CCAM), a mass of abnormal lung tissue, and release the pressure on Cole's heart thereby giving him a chance at surviving. Today Cole is a happy, smiling boy.

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Twin-Twin Transfusion Syndrome: 2007

LA Fetal Surgery is pioneering a new treatment for twin-twin transfusion syndrome, also known as TTTS, using laser energy to seal off the blood vessels that shunt blood between two fetuses that share the same placenta.

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Lower Urinary Tract Obstruction: 2008

Fetal lower urinary tract obstruction (LUTO) is a rare condition that is caused by a blockage of fetal urination. Because the baby cannot empty the bladder, the baby’s bladder subsequently becomes very large and distended. Learn more about what LA Fetal Surgery is doing to correct this fetal condition in utero.

learn more about acardiac twins