Postmortem clinical examination by experienced clinical geneticists as an alternative to conventional autopsy for assessment of fetal and perinatal deaths in countries with limited resources

The aim of this study was to investigate the usefulness of postmortem external examination performed by an experienced clinical geneticist as an alternative to autopsy in countries with limited resources. We studied a consecutive cohort of couples seeking genetic counseling for fetal loss or...

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Main Authors: Ebtesam M Abdalla, Lubna M El Desouky, Nargues M Hassanein
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2015-04-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1210
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author Ebtesam M Abdalla
Lubna M El Desouky
Nargues M Hassanein
author_facet Ebtesam M Abdalla
Lubna M El Desouky
Nargues M Hassanein
author_sort Ebtesam M Abdalla
collection DOAJ
description The aim of this study was to investigate the usefulness of postmortem external examination performed by an experienced clinical geneticist as an alternative to autopsy in countries with limited resources. We studied a consecutive cohort of couples seeking genetic counseling for fetal loss or perinatal death over a period of 3 years. The study involved 230 couples; only 57 of them submitted a fetus or dead neonate, for whom a meticulous postmortem clinical examination was performed by an experienced clinical geneticist. The diagnosis rate for the group of cases subjected to postmortem examination (57.9%) was much higher than that of the group that comprised cases for which diagnosis was made through evaluation of medical records (27.2%). Whenever fetal or neonatal autopsy is refused or is not feasible, a comprehensive fetal or perinatal postmortem external examination by an experienced clinical geneticist may be a reasonable substitute.
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publishDate 2015-04-01
publisher Hacettepe University Institute of Child Health
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series The Turkish Journal of Pediatrics
spelling doaj-art-4e4a58f293044fe78ea708d36ce87c732025-08-20T02:01:55ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212015-04-01572Postmortem clinical examination by experienced clinical geneticists as an alternative to conventional autopsy for assessment of fetal and perinatal deaths in countries with limited resourcesEbtesam M Abdalla0Lubna M El DesoukyNargues M HassaneinDepartment of Human Genetics, Medical Research Institute, Alexandria University, Egypt. ebtesam.nasr@alex-mri.edu.eg. The aim of this study was to investigate the usefulness of postmortem external examination performed by an experienced clinical geneticist as an alternative to autopsy in countries with limited resources. We studied a consecutive cohort of couples seeking genetic counseling for fetal loss or perinatal death over a period of 3 years. The study involved 230 couples; only 57 of them submitted a fetus or dead neonate, for whom a meticulous postmortem clinical examination was performed by an experienced clinical geneticist. The diagnosis rate for the group of cases subjected to postmortem examination (57.9%) was much higher than that of the group that comprised cases for which diagnosis was made through evaluation of medical records (27.2%). Whenever fetal or neonatal autopsy is refused or is not feasible, a comprehensive fetal or perinatal postmortem external examination by an experienced clinical geneticist may be a reasonable substitute. https://turkjpediatr.org/article/view/1210
spellingShingle Ebtesam M Abdalla
Lubna M El Desouky
Nargues M Hassanein
Postmortem clinical examination by experienced clinical geneticists as an alternative to conventional autopsy for assessment of fetal and perinatal deaths in countries with limited resources
The Turkish Journal of Pediatrics
title Postmortem clinical examination by experienced clinical geneticists as an alternative to conventional autopsy for assessment of fetal and perinatal deaths in countries with limited resources
title_full Postmortem clinical examination by experienced clinical geneticists as an alternative to conventional autopsy for assessment of fetal and perinatal deaths in countries with limited resources
title_fullStr Postmortem clinical examination by experienced clinical geneticists as an alternative to conventional autopsy for assessment of fetal and perinatal deaths in countries with limited resources
title_full_unstemmed Postmortem clinical examination by experienced clinical geneticists as an alternative to conventional autopsy for assessment of fetal and perinatal deaths in countries with limited resources
title_short Postmortem clinical examination by experienced clinical geneticists as an alternative to conventional autopsy for assessment of fetal and perinatal deaths in countries with limited resources
title_sort postmortem clinical examination by experienced clinical geneticists as an alternative to conventional autopsy for assessment of fetal and perinatal deaths in countries with limited resources
url https://turkjpediatr.org/article/view/1210
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AT lubnameldesouky postmortemclinicalexaminationbyexperiencedclinicalgeneticistsasanalternativetoconventionalautopsyforassessmentoffetalandperinataldeathsincountrieswithlimitedresources
AT narguesmhassanein postmortemclinicalexaminationbyexperiencedclinicalgeneticistsasanalternativetoconventionalautopsyforassessmentoffetalandperinataldeathsincountrieswithlimitedresources