Zaborske

Researchers are studying urinary tract dilation in fetuses and newborns to better understand how to predict severe postnatal outcomes and the need for surgery. The study aims to evaluate awareness among medical professionals about diagnosing and managing urinary tract dilation, and to develop a coordinated prenatal and postnatal care model for patients with this condition. There is currently no standardized multidisciplinary care approach in Slovakia for patients with urinary tract dilation, leading to varied diagnosis and management practices. Participants will undergo prenatal ultrasound examinations during the second trimester and again in the third trimester if dilation persists. After birth, newborns with prenatal diagnosis of urinary tract dilation will be followed by a pediatric nephrologist for up to six months. The research focuses on using the UTD classification from 2014 to identify fetuses with significant dilation requiring closer management and potential surgical intervention. During the study, researchers will monitor participants at the 20th and 32nd weeks of pregnancy, two days after birth, and six months after birth. They will collect information through ultrasounds, clinical evaluations by pediatric nephrologists, and questionnaires to assess diagnosis awareness and management. The main outcome is predicting the severity of postnatal course and need for surgery in affected newborns, helping to establish a multidisciplinary care model.