Fetal echocardiography in gravidas with historic risk factors for congenital heart disease

American Journal of Perinatology
J E MaherJ C Hauth

Abstract

All fetal echocardiograms performed at our institution between January 1, 1986, and June 1, 1991, were reviewed. The echocardiogram referral indication and results were verified for all women studied. Historic risk factors under consideration were pregestational diabetes, anticonvulsant or lithium ingestion in the first trimester, and a family history of congenital heart disease. Women with historic risk factors who had either a fetal abnormality on antenatal sonography or a known aneuploid fetus prior to the fetal echocardiograph were excluded. Of the 994 women who had a fetal echocardiogram performed during this study period, 486 (48.9%) were evaluated solely on the basis of a historic risk factor. Four of the 486 women (0.8%) were diagnosed as having a significant fetal structural cardiac malformation. Two of the four fetuses succumbed to obstetric complications. The remaining two infants were delivered at term and are doing well after postnatal cardiac surgery. In this select group of women with risk factors but no recognized fetal abnormality, the incidence of significant cardiac lesions was low. Although indications for fetal echocardiography must be evaluated on an individual basis, our data do not support a recommendati...Continue Reading

Citations

Nov 5, 1997·Obstetrics and Gynecology·R S SmithW Lee
Aug 1, 2015·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Ritu MograJon Hyett
May 30, 2009·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L S BernardA D Hull
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Nov 18, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L M LopesM Zugaib
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Feb 16, 2000·Current Opinion in Obstetrics & Gynecology·J Hyett, B Thilaganathan
Feb 24, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·C M LombardiA Cappellini
Dec 23, 2004·Prenatal Diagnosis·Jon Hyett

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