Neonatal outcomes in fetuses with cardiac anomalies and the impact of delivery route

American Journal of Obstetrics and Gynecology
Laura I ParikhUma M Reddy

Abstract

Congenital fetal cardiac anomalies compromise the most common group of fetal structural anomalies. Several previous reports analyzed all types of fetal cardiac anomalies together without individualized neonatal morbidity outcomes based on cardiac defect. Mode of delivery in cases of fetal cardiac anomalies varies greatly as optimal mode of delivery in these complex cases is unknown. We sought to determine rates of neonatal outcomes for fetal cardiac anomalies and examine the role of attempted route of delivery on neonatal morbidity. Gravidas with fetal cardiac anomalies and delivery >34 weeks, excluding stillbirths and aneuploidies (n = 2166 neonates, n = 2701 cardiac anomalies), were analyzed from the Consortium on Safe Labor, a retrospective cohort study of electronic medical records. Cardiac anomalies were determined using International Classification of Diseases, Ninth Revision codes and organized based on morphology. Neonates were assigned to each cardiac anomaly classification based on the most severe cardiac defect present. Neonatal outcomes were determined for each fetal cardiac anomaly. Composite neonatal morbidity (serious respiratory morbidity, sepsis, birth trauma, hypoxic ischemic encephalopathy, and neonatal death...Continue Reading

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Citations

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 LiuSailesh Kumar
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Sep 5, 2020·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·Mamatha GowdaLaxmi Godipelli
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Mar 3, 2020·American Journal of Obstetrics and Gynecology·Patient Safety and Quality Committee, Society for Maternal-Fetal MedicineIffath Abbasi Hoskins

Related Concepts

Postcesarean Section
Gestational Age
Congenital Heart Defects
Postneonatal Mortality
Induction of Labor Procedure
Antenatal Screening Procedures
Respiratory Distress Syndrome, Newborn
Retrospective Studies
Incidence Studies
Multivariate Analysis

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