Amniotic band syndrome (ABS) develops when the lining of the amniotic sac becomes injured during pregnancy. This produces string-like strands of tissue in which the fetus becomes bent. These strands (called amniotic bands) can wrap around various areas of the growing body. This stops (constricts) blood flow and prevents the fetus from growing normally. Constricted blood flow causes a variety of birth abnormalities. They can range from minor to severe deformities, limb loss, or life-threatening complications.
ABS is also referred to as amniotic band disruption, amniotic band sequence, constriction ring syndrome, and ADAM complex, among other terms.
The presence and severity of birth abnormalities are determined by the location and tightness of the amniotic bands. The bands typically constrain the limbs, fingers, and toes. They may also wrap around the fetus' head, neck, umbilical cord, or essential organs.
Some babies may just have skin indentations. Others may be born with clubfeet, fused fingers or toes, a cleft palate, or other physical abnormalities. In the most extreme cases, severe constriction can result in congenital amputation (missing limbs) or a blocked blood supply. This might be fatal.
ABS is typically diagnosed at delivery since the amniotic bands are difficult to detect on a standard ultrasound. However, in some situations, anomalies, such as limb deformities, might be observed. If your doctor suspects ABS, they may refer you to a fetal clinic for further testing and treatment.
Once ABS is diagnosed, your doctors will closely monitor both your pregnancy and your baby's growth and development. Regular ultrasounds will help you and your medical team identify changes, dangers, and potential problems, allowing you to establish a treatment plan.
Sometimes, however, ABS cause severe or life-threatening damage that must be corrected before the baby is born. For example, an amniotic band could be wrapped around the umbilical cord or cutting off blood circulation to a limb. In certain circumstances, fetal surgery could be an option. When in-utero intervention is required, a minimally invasive surgery known as fetoscopic amniotic band excision is typically used. A skilled surgeon utilizes ultrasound-guided imaging to reach the fetus through the mother's abdomen with a tiny device (equipped with a camera). The surgeon then cuts the band or bands to relieve constriction and prevent additional injury, such as loss of life or limb. It is critical, however, to make an informed decision and recognize that this procedure includes significant risks. These hazards include preterm birth, hemorrhage, and fetal harm.
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Everyone has varied long-term outcomes. They are usually determined by the body parts involved and the severity of the disease. The greatest outcomes typically involve limbs and birth abnormalities that can be surgically corrected or treated with therapies that restore function without affecting general health. In the most severe situations, ABS can result in permanent or life-threatening complications.
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