Fetal cardiac diagnosis and its influence on the pregnancy and newborn--a tertiary centre experience

Fetal Diagnosis and Therapy
B K YeuSamuel Menahem

Abstract

To evaluate the impact of an abnormal fetal cardiac scan on the management of the pregnancy and the outcome of the newborn. We reviewed all pregnancies that were referred to the Fetal Cardiac Unit for assessment to determine if the finding of a cardiac abnormality influenced the pregnancy and fetus, timing and mode of delivery, the treatment and outcome of the newborn. Diagnoses were confirmed by echocardiography following the baby's delivery. Between January 2005 and July 2006, there were 251 detailed fetal cardiac scans carried out on at risk pregnancies or those with suspected abnormal scans in 127 fetuses. Seven of the 92 mothers with abnormal fetal cardiac scans opted for termination. Two were successfully treated during the pregnancy for hydrops fetalis arising from a tachyarrhythmia. One was induced early because of deterioration of fetal well-being and increasing cardiac size. Twenty-six infants required a prostaglandin infusion prior to surgery. Two required intensive care for associated malformations. There were 24 survivors following complex surgery, and 2 deaths. Two infants with severe tricuspid valve incompetence from a dysplastic valve died, one associated with a septicaemia and the other where surgery was delaye...Continue Reading

Citations

May 31, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·C A WalshF M McAuliffe
Sep 8, 2009·Clinics in Perinatology·Catherine Limperopoulos
Apr 12, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·Samuel MenahemSimon Meagher
Mar 17, 2015·Frontiers in Pediatrics·Antonio Francesco Corno
Apr 26, 2014·Circulation·Mary T DonofrioAmerican Heart Association Adults With Congenital Heart Disease Joint Committee of the Council on Cardiovascular Disease in
Jan 10, 2021·Archives of Disease in Childhood. Education and Practice Edition·Samuel Menahem, Arvind Sehgal

Related Concepts

2D Echocardiography
Embryopathies
Fetal Heart
Congenital Heart Defects
Pregnancy Outcome
Retrospective Studies
Fetal Ultrasonography
Congenital Abnormality
Counseling
Diagnosis

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.