Is fetal echocardiography a worthwhile addition to targeted ultrasound in pregnant diabetics?

Fines, Verlee; Bernard, Leah; Agent, Sally; Hull, Andrew

doi:10.1016/j.ajog.2004.10.068

Cited by 1 publication

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“…For example, targeted fetal ultrasonography in diabetic patients may identify most clinically important lesions. 13,14,16 Also, the indication of fetal arrhythmia has a low risk for structural cardiac defects; therefore, routine referral for FE will yield very little additional information after normal FAU findings. 17,18 Fetal echocardiography for other indications, such as teratogen exposure and echogenicity in the fetal heart, will continue Echocardiography After Detailed Fetal Anatomic Ultrasonography to have a low yield in finding a major CHD that is not detected by FAU.…”

Section: Discussionmentioning

confidence: 99%

Utility of Fetal Echocardiography After Normal Cardiac Imaging Findings on Detailed Fetal Anatomic Ultrasonography

Starikov

Bsat

Knee

et al. 2009

Journal of Ultrasound in Medicine

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Objective. The purpose of this study was to assess the utility of fetal echocardiography (FE) after normal fetal cardiac imaging findings during detailed fetal anatomic ultrasonography (FAU). Methods. We conducted a retrospective cohort review of obstetric ultrasonographic studies from November 2001 through July 2005. We identified women with a singleton gestation with increased risk for congenital heart disease who received FAU performed by a maternal-fetal medicine specialist at 16 to 20 weeks' gestation with subsequent FE. These records were compared with newborn outcomes. Results. Of 789 pregnancies that had FAU and FE, 481 had satisfactory cardiac imaging. Of those, only 1 fetus had abnormal FE findings. After delivery, 4 of the 480 neonates with normal FAU and FE findings had a diagnosis of a heart defect. Conclusions. Fetal echocardiography does not substantially increase the detection rate of major cardiac anomalies after normal findings on detailed FAU performed by a maternal-fetal medicine specialist.

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