{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T22:11:16Z","timestamp":1790892676350,"version":"4.1.0"},"reference-count":100,"publisher":"Bentham Science Publishers Ltd.","issue":"2","content-domain":{"domain":["eurekaselect.com"],"crossmark-restriction":true},"short-container-title":["CPR"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n<jats:title>Background:<\/jats:title>\n<jats:p>Congenital anomalies are responsible for approximately 20% of all neona-tal deaths worldwide. Improvements in antenatal screening and diagnosis have significantly im-proved the prenatal detection of birth defects; however, these improvements have not translated into the improved neonatal prognosis of babies born with congenital anomalies.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Objectives:<\/jats:title>\n<jats:p>An attempt has been made to summarise the prenatal interventions, if available, the op-timal route, mode and time of delivery and discuss the minimum delivery room preparations that should be made if expecting to deliver a fetus with a congenital anomaly.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods:<\/jats:title>\n<jats:p>The recent literature related to the perinatal management of the fetus with prenatally de-tected common congenital anomalies was searched in English peer-reviewed journals from the PubMed database to work out an evidence-based approach for their management.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results:<\/jats:title>\n<jats:p>Fetuses with prenatally detected congenital anomalies should be delivered at a tertiary care centre with facilities for neonatal surgery and paediatric intensive care if needed. There is no indica-tion for preterm delivery in the majority of cases. Only a few congenital malformations, like high-risk sacrococcygeal teratoma, congenital lung masses with significant fetal compromise, fetal cere-bral lesions or neural tube defects with Head circumference &gt;40 cm or the biparietal diameter is \u226512 cm, gastroschisis with extracorporeal liver, or giant omphaloceles in the fetus warrant caesarean section as the primary mode of delivery.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion:<\/jats:title>\n<jats:p>The prognosis of a fetus with congenital anomalies can be significantly improved if planning for delivery, including the Place and Time of delivery, is done optimally. A multi-disciplinary team should be available for the fetus to optimize conditions right from when it is born.<\/jats:p>\n<\/jats:sec>","DOI":"10.2174\/1573396318666221005142001","type":"journal-article","created":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T11:28:26Z","timestamp":1665055706000},"page":"150-165","update-policy":"https:\/\/doi.org\/10.2174\/bsp_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Perinatal Management of Pregnancies with Fetal Congenital Anomalies:\nA Guide to Obstetricians and Pediatricians"],"prefix":"10.2174","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0708-1037","authenticated-orcid":true,"given":"Mishu","family":"Mangla","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, All India Institute of Medical Sciences, Bibinagar, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajendra Prasad","family":"Anne","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, All India Institute of Medical Sciences, Bibinagar, Hyderabad, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"965","reference":[{"key":"ref=1","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1186\/s12887-018-1149-0","volume":"18","author":"Bhide P.","year":"2018","unstructured":"Bhide P.; Kar A.; A national estimate of the birth prevalence of congenital anomalies in India: systematic review and meta-analysis. 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