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>> THE SURVEILLANCE DOESN'T END AFTER THE EVALUATION WITH US
AT THE CENTER.
IT'S IMPORTANT THAT IT CONTINUES THROUGHOUT THE PREGNANCY
AND ACTUALLY INCREASED IN THE THIRD TRIMESTER.
>> WE HAD TO GET INTO A ROUTINE OF MONITORING THE PREGNANCY ON
A REGULAR BASIS TO MAKE SURE EVERYTHING WAS PROGRESSING.
>> SO WE WERE COMING IN ABOUT ONCE A MONTH FOR THAT AND THEN
TOWARD THE END OF THE PREGNANCY, WE CAME IN EVERY WEEK.
>> ONE OF THE THINGS WE'VE LEARNED IS THAT IT'S IMPORTANT
TO FOLLOW THEM FOR AMNIOTIC FLUID VOLUME,
FOR INSTANCE, BECAUSE THEY CAN DEVELOP POLYHYDRAMNIOS,
OR EXCESSIVE AMNIOTIC FLUID.
>> IF THE STOMACH BECOMES KINKED OR PARTIALLY OBSTRUCTED,
THEN THE BABY CAN'T SWALLOW AND CAN'T RECYCLE ITS FLUID.
AND SO THE FLUID WILL ACCUMULATE AND SOMETIMES BETWEEN 28 AND 32
WEEKS YOU CAN DEVELOP SEVERE POLYHYDRAMNIOS THAT PLACES
THE PREGNANCIES AT RISK FOR PRETERM DELIVERY.
>> IT'S VERY IMPORTANT TO KNOW IF THERE ARE OTHER ANOMALIES
BECAUSE THAT CAN CHANGE THINGS FOR THE BABY WITH CONGENITAL
DIAPHRAGMATIC HERNIA.
>> IT'S ALSO IMPORTANT TO FOLLOW THE MOTHERS AND THE FETUSES
CLOSELY IF THEY'RE IN THE THIRD TRIMESTER,
BECAUSE THERE IS A RATE AS HIGH AS 5 PERCENT OF INEXPLICABLE
THIRD-TRIMESTER FETAL DEMISE.
SO WE, ON A REGULAR BASIS BEGINNING AT ABOUT 32 WEEKS
GESTATION, DO A COMPREHENSIVE WEEKLY OR BIWEEKLY EVALUATIONS
BY NON-STRESS TESTING AND SO ON AND SO FORTH.
WE THINK THAT'S IMPORTANT.