Prenatal Counseling and Care for Single-Ventricle Heart Disease: One Center's Model for Care

Terra Lafranchi1, Patricia Lincoln2

  • 1Terra Lafranchi is a nurse practitioner in the Department of Cardiology at Boston Children's Hospital. She is the fetal cardiology coordinator and also provides longitudinal pediatric cardiac care.Patricia Lincoln is a clinical nurse specialist in the cardiovascular intensive care unit at Boston Children's Hospital. terra.lafranchi@cardio.chboston.org.

Critical Care Nurse
|October 3, 2015
PubMed

Insights

Prenatal imaging advances enable early detection of single-ventricle congenital heart disease. Comprehensive counseling aids families in making informed decisions regarding treatment and care options.

Area of Science:

  • Pediatric Cardiology
  • Fetal Medicine
  • Congenital Heart Disease

Background:

  • Single-ventricle congenital heart disease (SVCHD) is a complex condition requiring specialized care.
  • Advances in prenatal imaging facilitate earlier diagnosis of fetal cardiac anomalies.
  • Prenatal diagnosis of SVCHD impacts management strategies and family planning.

Purpose of the Study:

  • To outline key components of optimal prenatal counseling for SVCHD.
  • To emphasize the role of specialized fetal care centers in managing SVCHD.
  • To support families in navigating complex decisions related to SVCHD.

Main Methods:

  • Review of current practices in prenatal diagnosis and counseling for SVCHD.
  • Identification of essential information for families facing SVCHD diagnosis.
  • Integration of multidisciplinary expertise in fetal cardiology and cardiac surgery.

Main Results:

  • Early detection via prenatal imaging is crucial for timely intervention.
  • Comprehensive counseling addresses diagnosis, delivery, surgical plans, neurodevelopment, and long-term outcomes.
  • Multidisciplinary care enhances support for families and optimizes infant outcomes.

Conclusions:

  • Optimal prenatal counseling empowers families with knowledge for decision-making.
  • Specialized fetal care programs are vital for managing SVCHD.
  • Improved prenatal care and education lead to better quality of life for affected children.

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