Foetal congenital heart disease: obstetric management and time to first cardiac intervention in babies delivered at a tertiary centre

Cardiology in the Young
Victoria C JowettG K Sharland

Abstract

The aim of this study was to determine the timing of neonatal cardiac intervention in babies with antenatally diagnosed congenital heart disease and the impact on obstetric management. A retrospective review of all deliveries between January, 2008 and December, 2009 was conducted in a tertiary centre with foetal and paediatric cardiology, maternal-foetal medicine, and obstetric units. All live births with antenatally detected congenital heart disease were included. Data were collected from foetal, paediatric cardiology, and maternity databases and records. Induction, delivery mode, and timing of the first cardiac intervention in the neonate were studied. 205 deliveries were included. Induction and elective Caesarean section rates were 51.2% (105/205) and 14.1% (29/205), respectively. The vaginal delivery rate was 56% (115/205). There was a non-significant trend towards a higher rate of vaginal delivery after spontaneous labour than after induction (75% versus 66%; p = 0.234). The rate of neonatal cardiac intervention during the initial stay was 59.5% (122/205); it was 18.5% (38/205) within 48 hours and 25.8% (53/205) within 72 hours. The median time to first intervention was 4 days (interquartile range 2-8). Babies with hypopla...Continue Reading

References

Mar 10, 2001·Circulation·W TworetzkyNorman H Silverman
Feb 15, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A PeroloG Pilu
May 4, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·L PasquiniHelena M Gardiner
Oct 15, 2008·Circulation·Hikoro MatsuiHelena M Gardiner
Jan 21, 2010·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Caitlin DunneRenato Natale
Feb 19, 2010·Pediatric Cardiology·Allison LeveyIsmee A Williams
Jun 24, 2010·Prenatal Diagnosis·Lindsey Allan
Jun 28, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Giulia TuoMaurizio Marasini
Sep 13, 2011·The American Journal of Cardiology·Anusha JegatheeswaranMark K Friedberg

Citations

Apr 1, 2015·Seminars in Fetal & Neonatal Medicine·Jay D PruetzDavid A Miller
Nov 7, 2016·Obstetrics and Gynecology Clinics of North America·Julie Scott
Nov 29, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Takekazu MiyoshiTomoaki Ikeda
Mar 17, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Cathy LiuS Kumar
Apr 14, 2016·Journal of Perinatal Medicine·Tuangsit WataganaraMiroslaw Wielgos
Feb 16, 2017·Current Treatment Options in Cardiovascular Medicine·Caroline K Lee

Related Concepts

Embryopathies
Congenital Heart Defects
Cardiac Surgery Procedures
Antenatal Screening Procedures
Retrospective Studies
Obstetric Delivery
Tertiary Care Centers
Congenital Abnormality
Arteries
Birth

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.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Related Papers

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
C Bailey, E Kalu
Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
O B NavtiJ C Konje
© 2021 Meta ULC. All rights reserved