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Screening for congenital heart disease during anatomical survey ultrasonography

Mert Ozan Bahtiyar1, Joshua A Copel2

  • 1Maternal-Fetal Medicine, Department of Obstetrics, Gynecology & Reproductive Science, Yale Fetal Cardiovascular Center, Yale Fetal Care Center, Yale School of Medicine, 333 Cedar Street, New Haven, CT 06520, USA.

Obstetrics and Gynecology Clinics of North America
|May 24, 2015
PubMed

Insights

Congenital heart disease (CHD) is a common birth defect. Improving prenatal ultrasound detection through systematic examination and training can enhance neonatal outcomes.

Area of Science:

  • Medical Science
  • Prenatal Diagnostics
  • Pediatric Cardiology

Background:

  • Congenital heart disease (CHD) represents a significant portion of congenital abnormalities, affecting 0.6% to 1.2% of newborns.
  • Despite its prevalence, CHD is frequently undetected during routine prenatal ultrasounds.
  • Missed prenatal diagnoses of CHD can lead to suboptimal neonatal outcomes.

Purpose of the Study:

  • To highlight the commonality of congenital heart disease (CHD) as a birth defect.
  • To emphasize the challenges in detecting CHD via prenatal ultrasound.
  • To propose strategies for improving prenatal detection rates of fetal heart abnormalities.

Main Methods:

  • Review of current literature on congenital heart disease prevalence.
  • Analysis of factors contributing to missed CHD diagnoses during fetal echocardiography.
  • Discussion of educational and systematic approaches to fetal heart screening.

Main Results:

  • Congenital heart disease (CHD) remains a leading cause of congenital abnormalities.
  • Prenatal ultrasound detection rates for CHD are suboptimal.
  • Systematic fetal heart examination protocols and targeted training are crucial.

Conclusions:

  • Enhanced systematic fetal heart examination can improve congenital heart disease (CHD) detection rates.
  • Regular feedback and structured training programs are essential for healthcare providers.
  • Improved prenatal diagnosis of CHD is linked to better neonatal outcomes.

Keywords:
Congenital heart diseaseNeonatal outcomePrenatal ultrasound screening

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