Ex Utero Intrapartum Treatment

Shannon Koehler, Amy J Wagner, MD, Rony Marwan, MD

Assessment

The purpose of ex utero intrapartum therapy (EXIT) is the maintenance of placental circulation until gas exchange for the neonate can be secured in another manner. There are four main categories of EXIT procedures.

Categories of EXIT procedures [1]

category

subcategory

EXIT to airway

intrinsic

congenital high airway obstruction syndrome

extrinsic

severe micrognathia, lymphatic malformation, vascular malformation

iatrogenic

tracheal clip or balloon

EXIT to resection

masses

EXIT to ECMO

severe congenital heart disease or severe congenital diaphragmatic hernia

EXIT to separation

conjoined twins

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Last updated: July 12, 2018