Impact of prenatally diagnosed congenital heart defects on outcomes and management

Wong, Jennifer; Kohari, Katherine; Bahtiyar, Mert Ozan; Copel, Joshua A.

doi:10.1002/jcu.23219

Cited by 8 publications

(8 citation statements)

References 96 publications

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“…Other indications include but are not limited to: a. Screening for fetal anomalies [49][50][51][52][53][54] b. Evaluation of fetal anatomy [55][56][57][58][59][60][61][62][63][64] In assessing oligohydramnios, the deepest vertical pocket (<2 cm) is preferred over AFI (≤5 cm) because it results in fewer obstetric interventions without a significant difference in perinatal outcome, and single deepest pocket should be at least 1 cm wide.…”

Section: Standard First-trimestermentioning

confidence: 99%

“… These examinations are commonly performed to assess fetal anatomy and biometry. Other indications include but are not limited to: Screening for fetal anomalies 49–54 Evaluation of fetal anatomy 55–64 Estimation of gestational age 49 Evaluation of suspected multiple gestation Evaluation of cervical length 11–13,65–69 Evaluation of fetal growth 70–73 Evaluation of significant discrepancy between uterine size and clinical dates Determination of fetal presentation Evaluation of fetal well‐being 47 Suspected amniotic fluid abnormalities 74–76 Evaluation of premature rupture of membranes and/or premature labor Evaluation of vaginal bleeding Evaluation of abdominal or pelvic pain Suspected placental abruption Suspected fetal death Follow‐up evaluation of a fetal anomaly 77 Evaluation/follow‐up of placental appearance and location. Includes suspected placenta previa, vasa previa, and evaluation of placenta accreta spectrum 78 Adjunct to amniocentesis or other procedure Adjunct to external cephalic version Evaluation of suspected gestational trophoblastic disease Evaluation of pelvic mass Suspected uterine anomalies In certain clinical circumstances, a more detailed examination of fetal anatomy may be indicated 79 …”

Section: Specification Of the Examinationmentioning

confidence: 99%

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AIUM Practice Parameter for the Performance of Standard Diagnostic Obstetric Ultrasound

2024

J of Ultrasound Medicine

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in Medicine (AIUM) is a multidisciplinary association dedicated to advancing the safe and effective use of ultrasound in medicine through professional and public education, research, development of clinical practice parameters, and accreditation of practices performing ultrasound examinations.The AIUM Practice Parameter for the Performance of Standard Diagnostic Obstetric Ultrasound was revised by the AIUM in collaboration with other organizations whose members use ultrasound for performing this examination(s) (see "Acknowledgments"). Recommendations for personnel requirements, the request for the examination, documentation, quality assurance, and safety may vary among the organizations and may be addressed by each separately.This practice parameter is intended to provide the medical ultrasound community with recommendations for the performance and recording of high-quality ultrasound examinations. The parameters reflect what the AIUM considers the appropriate criteria for this type of ultrasound examination but are not intended to establish a legal standard of care. Examinations performed in this specialty area are expected to follow the parameter with recognition that deviations may occur depending on the clinical situation.Obstetric ultrasound should be performed only when there is a valid medical reason, and the lowest possible acoustic output settings should be used to gain the necessary diagnostic information. [1][2][3] Although this practice parameter describes the key elements of standard ultrasound examinations in the first, second, and third trimesters of pregnancy, a more detailed fetal anatomic examination may be necessary in some cases, such as when an abnormality is found or suspected on the standard examination or in pregnancies at high risk for fetal anomaly. 4 In some cases, other imaging may be necessary as well.Although it is not possible to detect all structural congenital anomalies with diagnostic ultrasound, adherence to the following practice parameters will increase the likelihood of detecting many fetal abnormalities.

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Section: Standard First-trimestermentioning

confidence: 99%

Section: Specification Of the Examinationmentioning

confidence: 99%

AIUM Practice Parameter for the Performance of Standard Diagnostic Obstetric Ultrasound

2024

J of Ultrasound Medicine

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“…In some situations, it may even enable therapeutic intervention [10]. In light of this background information, it is hypothesised that fetal echocardiogram is more useful than neonatal echocardiography since it enables prompt postnatal diagnosis and therapy [11]. In comparison to neonatal echocardiography, the effectiveness of fetal echocardiography is being assessed in this systematic review [12].…”

Section: Introductionmentioning

confidence: 99%

Foetal Echocardiography vs. Neonatal Echocardiography for Diagnosis of Congenital Heart Diseases

Liora,

Santoso,

Fahira

et al. 2023

Int Jou of PHE

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Congenital heart disease (CHD) is a structural abnormality in the heart or major intrathoracic blood vessels that has been present since birth. The antenatal detection of congenital cardiac disease has been greatly enhanced by the advent of fetal echocardiography as a crucial component of prenatal ultrasound evaluation. Nevertheless, antenatal CHD diagnosis rates are still lower than those for the majority of other significant structural defects. Aim : Assess the effectiveness of fetal in comparison to neonatal echocardiography. This study is conductedin accordance to the PRISMA statement. Studies were identified from several open-access electronic databases (PubMed Central, ScienceDirect, Google Scholar). Risk of bias of each study was evaluated using Cochrane Risk of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool. Data were descriptively examined and narratively reported. Twelve studies were included in the review. All included studies were considered low-risk. From 12 studies that were included in our study, all recommend fetal echocardiography for prenatal assessment. Lowest reported sensitivity was 64.5%, highest value was 100%. Lowest repoted specificity was 88.9%, highest value was 99.96%. Diagnostic accuracy was reported in 4 studies, with a value of 93 – 99.82% Factors that might be associated with the accuracy of fetal echocardiography are high anatomic complexity, maternal comorbidities, and fellow as initial imager. Fetal echocardiography was found to have a high specificity but limited sensitivity. Low sensitivity suggests that fetal echocardiography results could be inaccurate whereas high specificity means that a negative echocardiography result is often sufficient to predict the absence of CHD. There are some factors that may affect the accuracy of fetal echocardiography, mostly resulting from fetal or maternal factors, such as high complexity of the anomaly, fetal position, late gestation, maternal obesity, and less-esperienced sonographer.

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mentioning

confidence: 99%

“…As obstetricians, all around the world know, congenital heart defects (CHDs) are, together with orofacial clefting, the most frequent congenital anomalies affecting prenatal life, and three reviews will describe the role of fetal cardiac remodeling and oversee the impact of different CHDs in terms of prognosis and treatment. [5][6][7] A state-of-the-art review on Doppler ultrasound assessment of the umbilical cord vein will complete the clinical documentation on the fetal adnexa. 8 The scientific background achieved together with the advent of modern real-time high-frequency ultrasound probes has enabled a number of congenital defects to be diagnosed early in gestation, shifting from the second to the first trimester of pregnancy.…”

mentioning

confidence: 99%

Advances in Maternal–Fetal Imaging

Rizzo

Tonni

2023

J of Clinical Ultrasound

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Timely diagnosis in fetal medicine has always been of a great importance, but development of different techniques within various imaging modalities over the last decade enables completely different diagnostic approach with higher sensitivity and specificity, which results in prompt diagnosis and therapy, if necessary, even during fetal period. Ultrasound, particularly 3D, remains the cornerstone of maternal-fetal imaging, but other imaging modalities, such as fetal magnetic resonance, are used more frequently because it may provide novel information that cannot be reached with sonography.This Special Issue of the Journal was conceived with the ambitious goal to present and illustrate the technological advancements that ultrasound applications have reached in the field of maternal and fetal imaging. The past 20 years have seen an exponential

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Impact of prenatally diagnosed congenital heart defects on outcomes and management

Cited by 8 publications

References 96 publications

AIUM Practice Parameter for the Performance of Standard Diagnostic Obstetric Ultrasound

AIUM Practice Parameter for the Performance of Standard Diagnostic Obstetric Ultrasound

Foetal Echocardiography vs. Neonatal Echocardiography for Diagnosis of Congenital Heart Diseases

Advances in Maternal–Fetal Imaging

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