{"id":5452,"date":"2024-08-06T16:13:09","date_gmt":"2024-08-06T16:13:09","guid":{"rendered":"https:\/\/www.med.unc.edu\/obgyn\/?page_id=5452"},"modified":"2024-11-08T17:58:46","modified_gmt":"2024-11-08T17:58:46","slug":"fetal-conditions-we-treat","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/obgyn\/maternal-fetal-medicine\/fetal-care-center\/fetal-conditions-we-treat\/","title":{"rendered":"Fetal Conditions We Treat"},"content":{"rendered":"<h2\n\t         id=\"user-md\"\n\t         class=\"icon center fa-user-md\">Fetal Conditions We Treat<\/h2>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<div role=\"tablist\" class=\"panel-group  oscitas-bootstrap-container\" id=\"unc-accordion-0\">\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-0\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-0\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-0\"  \n                aria-expanded=\"true\" \n                href=\"#details-0-0\">\n                Complicated Multifetal Pregnancy            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-0-0\" class=\"panel-collapse collapse in oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-1\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-1\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-1\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-1\">\n                Congenital Anomalies of the Urinary Tract, Lower Urinary Tract Obstruction            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-0-1\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<p><span data-contrast=\"auto\">Description of Condition: <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:4320,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"6\"><span data-contrast=\"auto\">Describes a group of developmental abnormalities affecting the kidneys, ureter, bladder, and\/or urethra.\u00a0 The ureters are the tubes that connect the kidney to the bladder. The urethra is the tube that carries urine from the bladder to outside of the body. It is one of the most common groups of abnormalities diagnosed in newborns with about 5 infants affected in every 1,000 births.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Prenatal Diagnosis and Care:\u00a0 <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:4320,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"6\"><span data-contrast=\"auto\">Often CAKUT is found during routine prenatal ultrasounds.\u00a0 Your obstetrician or maternal fetal medicine physician will determine the need for additional prenatal ultrasound imaging based upon upon the location of the congenital anomaly and the amniotic fluid volumes. They may consult with neonatologists, pediatric urologists, and pediatric nephrologists to discuss neonatal care options.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Delivery Care: <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:4320,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"6\"><span data-contrast=\"auto\">Delivery of your infant(s) can occur at the recommendation of your obstetrician or maternal fetal medicine physician team.\u00a0<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Neonatal Care: <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:4320,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"6\"><span data-contrast=\"auto\">following delivery, babies with CAKUT are transferred to a neonatal intensive care unit. There, neonatologists, pediatric urologists, and pediatric nephrologists work together to assess the baby\u2019s condition and consider next steps.\u00a0 Treatment options depend on the location of the congenital anomaly, but in the early stages can potentially include surgery to address obstructions(blockages) in the urinary tract, and in some cases, dialysis. Consultation with a pediatric <span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed GrammarErrorHighlight SCXW40914121 BCX0\">nephrologists<\/span><span class=\"NormalTextRun SCXW40914121 BCX0\"> can help to <\/span><span class=\"NormalTextRun SCXW40914121 BCX0\">determine<\/span><span class=\"NormalTextRun SCXW40914121 BCX0\"> if dialysis will be <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW40914121 BCX0\">needed<\/span><span class=\"NormalTextRun SCXW40914121 BCX0\"> a baby\u2019s CAKUT condition.<\/span><\/span><\/li>\n<\/ul>\n<p>Longterm Outcome:<\/p>\n<ul>\n<li><span class=\"TextRun SCXW93888703 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW93888703 BCX0\">long<\/span><span class=\"NormalTextRun SCXW93888703 BCX0\"> term outcomes are highly variable though all children with CAKUT will have some degree of chronic kidney disease long term. CAKUT accounts for about 35% <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW93888703 BCX0\">all<\/span><span class=\"NormalTextRun SCXW93888703 BCX0\"> children with kidney failure who require kidney transplantation. If kidney transplantation is needed during childhood due to kidney failure, a child would be potentially eligible for kidney transplantation once they are older than 2 years of age.<\/span><\/span><span class=\"EOP SCXW93888703 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p>.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-2\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-2\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-2\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-2\">\n                Congenital Cystic Adenomatoid Malformation (CCAM) \/ Bronchopulmonary Sequestration (BPS)            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-0-2\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-3\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-3\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-3\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-3\">\n                Congenital Diaphragmatic Hernia (CDH)            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-0-3\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-4\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-4\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-4\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-4\">\n                Fetal Neck Mass\/Tumor            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-0-4\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-0-5\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-0-5\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-0\"    \n                aria-controls=\"#details-0-5\"  \n                aria-expanded=\"false\" \n                href=\"#details-0-5\">\n                Gastroschisis \/ Omphalocele            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-0-5\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n<\/div>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<div role=\"tablist\" class=\"panel-group  oscitas-bootstrap-container\" id=\"unc-accordion-1\">\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-1-0\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-1-0\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-1\"    \n                aria-controls=\"#details-1-0\"  \n                aria-expanded=\"true\" \n                href=\"#details-1-0\">\n                Micrognathia            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-1-0\" class=\"panel-collapse collapse in oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-1-1\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-1-1\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-1\"    \n                aria-controls=\"#details-1-1\"  \n                aria-expanded=\"false\" \n                href=\"#details-1-1\">\n                Myelomeningocele\/Spina Bifida            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-1-1\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-1-2\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-1-2\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-1\"    \n                aria-controls=\"#details-1-2\"  \n                aria-expanded=\"false\" \n                href=\"#details-1-2\">\n                Pleural Effusion            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-1-2\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-1-3\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-1-3\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-1\"    \n                aria-controls=\"#details-1-3\"  \n                aria-expanded=\"false\" \n                href=\"#details-1-3\">\n                Red Cell Alloimmunization            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-1-3\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">\n<p><span data-contrast=\"auto\">Description of Condition: <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:4320,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"6\"><span class=\"TextRun SCXW165996223 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW165996223 BCX0\" data-ccp-charstyle=\"normaltextrun\" data-ccp-charstyle-defn=\"{&quot;ObjectId&quot;:&quot;002ac893-b9d9-4067-9b22-5e0c50507c69|188&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:&#091;201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Calibri&quot;,469777842,&quot;&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,201341986,&quot;1&quot;,469769226,&quot;Calibri&quot;,268442635,&quot;24&quot;,469775450,&quot;normaltextrun&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;normaltextrun&quot;,335572020,&quot;1&quot;,469778324,&quot;Default Paragraph Font&quot;&#093;}\">Alloimmunization is <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW165996223 BCX0\" data-ccp-charstyle=\"normaltextrun\">natural<\/span><span class=\"NormalTextRun SCXW165996223 BCX0\" data-ccp-charstyle=\"normaltextrun\"> process of the body when it is exposed to foreign cells and tissue. \u201c<\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW165996223 BCX0\" data-ccp-charstyle=\"normaltextrun\">Allo<\/span><span class=\"NormalTextRun SCXW165996223 BCX0\" data-ccp-charstyle=\"normaltextrun\">\u201d means other and refers to the fact that the immune system of the body is attacking cells and tissue that are from a different person.\u202f<\/span><span class=\"NormalTextRun SCXW165996223 BCX0\" data-ccp-charstyle=\"eop\" data-ccp-charstyle-defn=\"{&quot;ObjectId&quot;:&quot;002ac893-b9d9-4067-9b22-5e0c50507c69|189&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:&#091;201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Calibri&quot;,469777842,&quot;&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,201341986,&quot;1&quot;,469769226,&quot;Calibri&quot;,268442635,&quot;24&quot;,469775450,&quot;eop&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;eop&quot;,335572020,&quot;1&quot;,469778324,&quot;Default Paragraph Font&quot;&#093;}\">\u202f<\/span><\/span><span class=\"EOP SCXW165996223 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:4320,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"6\"><span class=\"TextRun SCXW237337656 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW237337656 BCX0\" data-ccp-charstyle=\"normaltextrun\" data-ccp-charstyle-defn=\"{&quot;ObjectId&quot;:&quot;002ac893-b9d9-4067-9b22-5e0c50507c69|188&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:&#091;201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Calibri&quot;,469777842,&quot;&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,201341986,&quot;1&quot;,469769226,&quot;Calibri&quot;,268442635,&quot;24&quot;,469775450,&quot;normaltextrun&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;normaltextrun&quot;,335572020,&quot;1&quot;,469778324,&quot;Default Paragraph Font&quot;&#093;}\">If a mother has a negative blood type and has been exposed to a positive blood type, <\/span><span class=\"NormalTextRun SCXW237337656 BCX0\" data-ccp-charstyle=\"normaltextrun\">maybe from<\/span><span class=\"NormalTextRun SCXW237337656 BCX0\" data-ccp-charstyle=\"normaltextrun\"> blood transfusion, her body will develop antibodies to the positive blood type. If she later gets pregnant and the baby has a positive blood type, the mom\u2019s body <\/span><span class=\"NormalTextRun SCXW237337656 BCX0\" data-ccp-charstyle=\"normaltextrun\">will attack the baby\u2019s red blood cells with the antibodies it already has to the positive blood.\u202f<\/span><span class=\"NormalTextRun SCXW237337656 BCX0\" data-ccp-charstyle=\"eop\" data-ccp-charstyle-defn=\"{&quot;ObjectId&quot;:&quot;002ac893-b9d9-4067-9b22-5e0c50507c69|189&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:&#091;201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Calibri&quot;,469777842,&quot;&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,201341986,&quot;1&quot;,469769226,&quot;Calibri&quot;,268442635,&quot;24&quot;,469775450,&quot;eop&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;eop&quot;,335572020,&quot;1&quot;,469778324,&quot;Default Paragraph Font&quot;&#093;}\">\u202f<\/span><\/span><span class=\"EOP SCXW237337656 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:4320,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"6\"><span class=\"NormalTextRun SCXW18922992 BCX0\" data-ccp-charstyle=\"normaltextrun\" data-ccp-charstyle-defn=\"{&quot;ObjectId&quot;:&quot;002ac893-b9d9-4067-9b22-5e0c50507c69|188&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:&#091;201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Calibri&quot;,469777842,&quot;&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,201341986,&quot;1&quot;,469769226,&quot;Calibri&quot;,268442635,&quot;24&quot;,469775450,&quot;normaltextrun&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;normaltextrun&quot;,335572020,&quot;1&quot;,469778324,&quot;Default Paragraph Font&quot;&#093;}\">If a mom has a negative blood type and her first baby has a positive blood <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW18922992 BCX0\" data-ccp-charstyle=\"normaltextrun\">type<\/span><span class=\"NormalTextRun SCXW18922992 BCX0\" data-ccp-charstyle=\"normaltextrun\"> she may develop antibodies to the positive blood type. That is why we treat mom <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW18922992 BCX0\" data-ccp-charstyle=\"normaltextrun\">is<\/span><span class=\"NormalTextRun SCXW18922992 BCX0\" data-ccp-charstyle=\"normaltextrun\"> Rhogam during pregnancy if she has a negative blood type. This will stop her body from making antibodies and protect future pregnancies.<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Prenatal Diagnosis and Care:\u00a0 <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"3\"><i><span data-contrast=\"none\">We will organize a meeting with our Maternal Fetal Medicine Team and nurse coordinator. We will discuss medical treatments that your baby may need during pregnancy, including intrauterine blood transfusions\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"3\"><i><span data-contrast=\"none\">We will provide a nurse coordinator for your care.\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"3\"><i><span data-contrast=\"none\">At UNC Fetal Care Center, we want to provide you with compassionate care throughout your pregnancy. We will take time to explain procedures and tests to you and work with you to develop a plan of care that serves you and your family. We have state of the art equipment and the highest trained staff in the area to meet the needs of your pregnancy. We understand that you are facing unique challenges in your pregnancy and will work to support you throughout this process.\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"3\"><i><span data-contrast=\"none\">Periodic intrauterine blood transfusions can be performed throughout your pregnancy to keep the baby from becoming too anemic and prevent further complications for the baby\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"3\"><i><span data-contrast=\"none\">These transfusions occur at UNC on the Labor and Delivery unit in the operating room.\u202f\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"6\" data-aria-level=\"3\"><i><span data-contrast=\"none\">We will ask you not to eat or drink after midnight before the procedure\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"7\" data-aria-level=\"3\"><i><span data-contrast=\"none\">We will either place an epidural or provide local anesthetic to numb the area that we will be placing the transfusion needle\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"8\" data-aria-level=\"3\"><i><span data-contrast=\"none\">We will then use a long needle into the mother\u2019s abdomen and, with ultrasound guidance, go into the baby&#8217;s umbilical cord.\u202f\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"9\" data-aria-level=\"3\"><i><span data-contrast=\"none\">We will then take a sample of the umbilical cord blood to the determine the hemoglobin level and how much blood we will need to transfuse.\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"10\" data-aria-level=\"3\"><i><span data-contrast=\"none\">We will then transfuse the appropriate amount of blood and retest the baby\u2019s hemoglobin.\u202f\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"11\" data-aria-level=\"3\"><i><span data-contrast=\"none\">When we are done with the procedure, we will move you to a post-operative area to monitor your baby, you will be able to eat and drink in that area. You will be discharged from Labor and Delivery within a few hours\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Delivery Care: <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:4320,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"6\"><span class=\"TextRun SCXW22817704 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW22817704 BCX0\" data-ccp-charstyle=\"normaltextrun\" data-ccp-charstyle-defn=\"{&quot;ObjectId&quot;:&quot;002ac893-b9d9-4067-9b22-5e0c50507c69|188&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:&#091;201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Calibri&quot;,469777842,&quot;&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,201341986,&quot;1&quot;,469769226,&quot;Calibri&quot;,268442635,&quot;24&quot;,469775450,&quot;normaltextrun&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;normaltextrun&quot;,335572020,&quot;1&quot;,469778324,&quot;Default Paragraph Font&quot;&#093;}\">The Maternal Fetal Medicine team will work with you to <\/span><span class=\"NormalTextRun SCXW22817704 BCX0\" data-ccp-charstyle=\"normaltextrun\">determine<\/span><span class=\"NormalTextRun SCXW22817704 BCX0\" data-ccp-charstyle=\"normaltextrun\"> your delivery. <\/span><span class=\"NormalTextRun SCXW22817704 BCX0\" data-ccp-charstyle=\"normaltextrun\">Usually, moms are able to deliver vaginally unless otherwise indicated.<\/span><span class=\"NormalTextRun SCXW22817704 BCX0\" data-ccp-charstyle=\"normaltextrun\"> We may need to schedule your delivery date and plan for an induction or caesarian, depending on how <\/span><span class=\"NormalTextRun SCXW22817704 BCX0\" data-ccp-charstyle=\"normaltextrun\">previous<\/span><span class=\"NormalTextRun SCXW22817704 BCX0\" data-ccp-charstyle=\"normaltextrun\"> babies were delivered. We will schedule your induction for 37-<\/span><span class=\"NormalTextRun SCXW22817704 BCX0\" data-ccp-charstyle=\"normaltextrun\">38 <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW22817704 BCX0\" data-ccp-charstyle=\"normaltextrun\">weeks<\/span><span class=\"NormalTextRun SCXW22817704 BCX0\" data-ccp-charstyle=\"normaltextrun\"> gestation. If the baby is severely affected by the alloimmunization, anemic we will administer steroids to help with lung maturity and plan to deliver earlier.\u202f<\/span><span class=\"NormalTextRun SCXW22817704 BCX0\" data-ccp-charstyle=\"eop\" data-ccp-charstyle-defn=\"{&quot;ObjectId&quot;:&quot;002ac893-b9d9-4067-9b22-5e0c50507c69|189&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:&#091;201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Calibri&quot;,469777842,&quot;&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,201341986,&quot;1&quot;,469769226,&quot;Calibri&quot;,268442635,&quot;24&quot;,469775450,&quot;eop&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;eop&quot;,335572020,&quot;1&quot;,469778324,&quot;Default Paragraph Font&quot;&#093;}\">\u202f<\/span><\/span><span class=\"EOP SCXW22817704 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Neonatal Care: <\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"1\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:4320,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"6\">\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"3\"><i><span data-contrast=\"none\">Most babies with alloimmunization will develop jaundice (yellowing of the skin). Jaundice comes from excess bilirubin, a compound released by red blood cells when they are damaged by antibodies. If left untreated, very high levels of bilirubin can cause brain damage.<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"3\"><i><span data-contrast=\"none\">The initial treatment for excess bilirubin is phototherapy (therapy with a blue light). Phototherapy helps your baby get rid of bilirubin. We will monitor your baby\u2019s bilirubin level from blood samples and start phototherapy when needed.\u00a0<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"3\"><i><span data-contrast=\"none\">If your baby\u2019s bilirubin rises slowly, your baby may be able to stay with you and receive phototherapy by the Newborn Medicine team. If your baby\u2019s bilirubin rises too quickly, your baby will be transferred to the Newborn Critical Care Center (NCCC &#8211; our NICU) for careful monitoring.\u00a0<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"3\"><i><span data-contrast=\"none\">In the NICU, your baby will receive phototherapy and may receive additional therapies to prevent bilirubin from getting too high. Your baby may be started on IV fluids. Your baby may also receive intravenous immunoglobulin (IVIG). IVIG prevents antibodies from damaging red blood cells and thus lowers your baby\u2019s bilirubin level.\u00a0<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"3\"><i><span data-contrast=\"none\">If your baby\u2019s bilirubin level rises to an unsafe level, your baby may require an exchange transfusion. An exchange transfusion reduces bilirubin in the body by removing blood containing harmful antibodies and replacing it with new blood.<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0a7\" data-font=\"Wingdings\" data-listid=\"19\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:&#091;9642&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0a7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"6\" data-aria-level=\"3\"><i><span data-contrast=\"none\">Babies that do not need an exchange transfusion may require a simple blood transfusion after birth, either in the NCCC or after discharge.\u202f<\/span><\/i><span data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Longterm Outcome:<\/p>\n<ul>\n<li><span class=\"NormalTextRun SCXW28804115 BCX0\" data-ccp-charstyle=\"normaltextrun\" data-ccp-charstyle-defn=\"{&quot;ObjectId&quot;:&quot;002ac893-b9d9-4067-9b22-5e0c50507c69|188&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:&#091;201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Calibri&quot;,469777842,&quot;&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,201341986,&quot;1&quot;,469769226,&quot;Calibri&quot;,268442635,&quot;24&quot;,469775450,&quot;normaltextrun&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;normaltextrun&quot;,335572020,&quot;1&quot;,469778324,&quot;Default Paragraph Font&quot;&#093;}\">With careful monitoring and <\/span><span class=\"NormalTextRun SCXW28804115 BCX0\" data-ccp-charstyle=\"normaltextrun\">good care<\/span><span class=\"NormalTextRun SCXW28804115 BCX0\" data-ccp-charstyle=\"normaltextrun\">, most babies do very well after discharge and <\/span><span class=\"NormalTextRun SCXW28804115 BCX0\" data-ccp-charstyle=\"normaltextrun\">don\u2019t<\/span><span class=\"NormalTextRun SCXW28804115 BCX0\" data-ccp-charstyle=\"normaltextrun\"> require any <\/span><span class=\"NormalTextRun SCXW28804115 BCX0\" data-ccp-charstyle=\"normaltextrun\">special care<\/span><span class=\"NormalTextRun SCXW28804115 BCX0\" data-ccp-charstyle=\"normaltextrun\"> at home. \u202f<\/span><\/li>\n<li><span class=\"TextRun SCXW153959454 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW153959454 BCX0\" data-ccp-charstyle=\"eop\" data-ccp-charstyle-defn=\"{&quot;ObjectId&quot;:&quot;002ac893-b9d9-4067-9b22-5e0c50507c69|189&quot;,&quot;ClassId&quot;:1073872969,&quot;Properties&quot;:&#091;201342446,&quot;1&quot;,201342447,&quot;5&quot;,201342448,&quot;1&quot;,201342449,&quot;1&quot;,469777841,&quot;Calibri&quot;,469777842,&quot;&quot;,469777843,&quot;Calibri&quot;,469777844,&quot;Calibri&quot;,201341986,&quot;1&quot;,469769226,&quot;Calibri&quot;,268442635,&quot;24&quot;,469775450,&quot;eop&quot;,201340122,&quot;1&quot;,134233614,&quot;true&quot;,469778129,&quot;eop&quot;,335572020,&quot;1&quot;,469778324,&quot;Default Paragraph Font&quot;&#093;}\">The discharging care team will develop a follow-up plan with your pediatrician designed for your baby\u2019s specific needs. This plan often involves follow-up with our pediatric hematology team who <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW153959454 BCX0\" data-ccp-charstyle=\"eop\">specializes<\/span><span class=\"NormalTextRun SCXW153959454 BCX0\" data-ccp-charstyle=\"eop\"> in monitoring babies with this problem.<\/span><\/span><span class=\"EOP SCXW153959454 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/li>\n<\/ul>\n<p>.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-1-4\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-1-4\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-1\"    \n                aria-controls=\"#details-1-4\"  \n                aria-expanded=\"false\" \n                href=\"#details-1-4\">\n                Sacrococcygeal Teratoma            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-1-4\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-1-5\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-1-5\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-1\"    \n                aria-controls=\"#details-1-5\"  \n                aria-expanded=\"false\" \n                href=\"#details-1-5\">\n                Thoracic Malformations            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-1-5\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2\n\t         id=\"user-md\"\n\t         class=\"icon center fa-user-md\">Treatments<\/h2>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<div role=\"tablist\" class=\"panel-group  oscitas-bootstrap-container\" id=\"unc-accordion-2\">\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-2-0\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-2-0\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-2\"    \n                aria-controls=\"#details-2-0\"  \n                aria-expanded=\"true\" \n                href=\"#details-2-0\">\n                Drug Therapy            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-2-0\" class=\"panel-collapse collapse in oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-2-1\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-2-1\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-2\"    \n                aria-controls=\"#details-2-1\"  \n                aria-expanded=\"false\" \n                href=\"#details-2-1\">\n                Fetal Surgery            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-2-1\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-2-2\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-2-2\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-2\"    \n                aria-controls=\"#details-2-2\"  \n                aria-expanded=\"false\" \n                href=\"#details-2-2\">\n                Prenatal Genetic Screening\/Testing            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-2-2\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n<\/div>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<div role=\"tablist\" class=\"panel-group yourcustomclass oscitas-bootstrap-container\" id=\"unc-accordion-3\">\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-3-0\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-3-0\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-3\"    \n                aria-controls=\"#details-3-0\"  \n                aria-expanded=\"true\" \n                href=\"#details-3-0\">\n                Prenatal Management            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-3-0\" class=\"panel-collapse collapse in oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n\n<div class=\"panel panel-default oscitas-bootstrap-container\">\n\n    <div id=\"panel-heading-details-3-1\" class=\"panel-heading oscitas-bootstrap-container\" role=\"tab\">\n\n        <h2 class=\"panel-title oscitas-bootstrap-container\">\n\n            <button class=\"accordion-toggle oscitas-bootstrap-container collapsed\" \n                id = \"button-details-3-1\"\n                data-toggle=\"collapse\"\n                data-parent=\"#unc-accordion-3\"    \n                aria-controls=\"#details-3-1\"  \n                aria-expanded=\"false\" \n                href=\"#details-3-1\">\n                Preventive Therapies            <\/button>\n\n        <\/h2>\n\n    <\/div>\n\n    <div id=\"details-3-1\" class=\"panel-collapse collapse  oscitas-bootstrap-container\">\n\n        <div class=\"panel-body oscitas-bootstrap-container\">Coming Soon.<\/div>\n\n    <\/div>\n        \n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<hr  style=\"margin:20px 0\"class=\" rule-thin osc-rule\" \/>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<h2>Contact Us<\/h2>\n<p><em>UNC Maternal Fetal Medicine<br \/>\n<\/em><strong><em>UNC Fetal Care Center<br \/>\n<\/em><\/strong><em>CONTACT US:\u00a0<br \/>\n<\/em><em>984-974-9019\u00a0<\/em><\/p>\n<p><em>For existing patients\u00a0<br \/>\n<\/em><em>with urgent needs,\u00a0<br \/>\n<\/em><em>Please call 984-974-3422<\/em><\/p>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<div class = \"alert alert-info  oscitas-bootstrap-container\">\n<h2 style=\"text-align: center\">Referrals<br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5585\" src=\"https:\/\/www.med.unc.edu\/obgyn\/wp-content\/uploads\/sites\/1360\/2024\/08\/pexels-fetal-care-center-families-300x200.jpg\" alt=\"2 parents snuggling baby\" width=\"300\" height=\"200\" srcset=\"https:\/\/www.med.unc.edu\/obgyn\/wp-content\/uploads\/sites\/1360\/2024\/08\/pexels-fetal-care-center-families-300x200.jpg 300w, https:\/\/www.med.unc.edu\/obgyn\/wp-content\/uploads\/sites\/1360\/2024\/08\/pexels-fetal-care-center-families-1024x683.jpg 1024w, https:\/\/www.med.unc.edu\/obgyn\/wp-content\/uploads\/sites\/1360\/2024\/08\/pexels-fetal-care-center-families-768x512.jpg 768w, https:\/\/www.med.unc.edu\/obgyn\/wp-content\/uploads\/sites\/1360\/2024\/08\/pexels-fetal-care-center-families-1536x1024.jpg 1536w, https:\/\/www.med.unc.edu\/obgyn\/wp-content\/uploads\/sites\/1360\/2024\/08\/pexels-fetal-care-center-families-2048x1365.jpg 2048w, https:\/\/www.med.unc.edu\/obgyn\/wp-content\/uploads\/sites\/1360\/2024\/08\/pexels-fetal-care-center-families-600x400.jpg 600w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/h2>\n<p style=\"text-align: center\">Please fax referrals to <b>919-784-6429<\/b><\/p>\n<\/div>\n<\/div>\n<\/div>\n<hr  style=\"margin:20px 0\"class=\" rule-thin osc-rule\" \/>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":116513,"featured_media":0,"parent":324,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-5452","page","type-page","status-publish","hentry","odd"],"acf":[],"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/obgyn\/wp-json\/wp\/v2\/pages\/5452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/obgyn\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.med.unc.edu\/obgyn\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/obgyn\/wp-json\/wp\/v2\/users\/116513"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/obgyn\/wp-json\/wp\/v2\/comments?post=5452"}],"version-history":[{"count":0,"href":"https:\/\/www.med.unc.edu\/obgyn\/wp-json\/wp\/v2\/pages\/5452\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/obgyn\/wp-json\/wp\/v2\/pages\/324"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/obgyn\/wp-json\/wp\/v2\/media?parent=5452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}