An EXIT procedure is a well-organized multidisciplinary treatment plan for mothers and babies in which there are concerns for breathing difficulties at time of delivery. The EXIT is a treatment strategy that uses the mother's placental support to maintain the baby's oxygenation while the doctors assess and treat the baby in order to ensure its breathing capabilities. Although similar to a Cesarean delivery, the EXIT procedure requires special considerations and treatments for mother and baby. There have been several different diseases in which an EXIT procedure has been utilized.
EXIT procedures are utilized when your doctors are concerned that your baby may not be able to breathe adequately on their own at time of delivery. This can be for several reasons including problems with the lungs or masses of the neck or chest that may be compressing the airway. Such indications have included, but not limited to:
The decision to perform an EXIT procedure at time of delivery will be determined by your team of doctors at the Center.
The entire team will carefully plan for the delivery of your baby with preparation to perform an EXIT procedure. Although an EXIT procedure utilizes an incision similar to a Cesarean, the goals of an EXIT are very different with special concerns. Instead of stopping blood flow and allowing the placenta to separate from the uterus, an EXIT procedure tries to ensure oxygenation between mother and baby. This maintains the circulation of blood, nutrients, and oxygen to the fetus so that your doctors have time to assess the airway and perform all necessary treatments. Special considerations are made to ensure that mother and child are provided adequate anesthesia. As the infant is delivered, mother and baby are placed on special monitors.At this point, depending on the disease, one of three scenarios may occur.
The EXIT procedure is performed in the operating room with all the special equipment necessary to ensure the safety of you and your baby. Afterwards, the mother will be admitted to the Women's Center and the baby to the Neonatal Intensive Care Unit at Children's Memorial Hermann Hospital to monitor for complications. The mother's recovery will be similar to those who undergo regular Cesarean delivery. A pediatric surgeon will evaluate the infant and discuss the next appropriate steps in therapy.
When you contact The Fetal Center, you will be in touch with a dedicated coordinator who will walk you through the process step-by-step and help you to understand every aspect of your care.
The Fetal Center at Children's Memorial Hermann Hospital
UT Professional Building
6410 Fannin, Suite 210
Houston, Texas 77030
To contact The Fetal Center at Children's Memorial Hermann Hospital, please fill out the form below.
Located within the Texas Medical Center, The Fetal Center is affiliated with Children’s Memorial Hermann Hospital, McGovern Medical School at UTHealth, and UT Physicians.