The algorithms contained on this Web page have been developed for the purpose of unifying the general care of patients. They are notintended to serve as a rigid protocol or a written proxy for the standard of care. These are not intended to impose standards of carepreventing selective variances from the guidelines to meet the specific and unique requirements of individual patients. These algorithms donot preclude the use of the physician's clinical judgment in a specific situation. The algorithms remain the intellectual property of TexasChildren's Hospital. They cannot be reproduced in whole or in part without the expressed permission of Texas Children's Hospital.© Texas Children’s Hospital. All rights reserved.
Diagnosis of Fetal OmphaloceleNotification of Texas Children’s Fetal Center physicians on call for the weekPresentation at weekly multidisciplinaryconferenceApproved10/06/2008Copyright
TexasChildren’s FetalCenterAssignment to Center coordinator- prenatal records obtained
Assess whether genetic counselinghas been undertaken (18 weeksgestation)Pediatric surgeryconsultationComprehensiveultrasound @Baylor if referred byOB or non-HoustonMFMPsychosocialstressors,familyfunctioning,neurodevelopoutcome studyTCH DI US andMRI- Genetic counseling @ Baylor(consider amniocentesis forkarotype and CMA)- Comprehensive ultrasound
Gestational age of’> 20 weeksNICHDCMAStudyFetalechocardiogramContinue omphalocele 2 algorithm