Related Experiment Video

Updated: Mar 25, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

7.8K

Perinatal and Delivery Management of Infants with Congenital Heart Disease

Laura Sanapo1, Anita J Moon-Grady2, Mary T Donofrio3

  • 1Division of Fetal and Transitional Medicine, Children's National Health System, 111 Michigan Avenue, Northwest, Suite M3-118, Washington, DC 20010, USA.

Clinics in Perinatology
|February 16, 2016
PubMed

Insights

Prenatal diagnosis of congenital heart disease (CHD) using fetal echocardiography improves delivery and perinatal care. Careful planning ensures timely intervention for newborns needing immediate post-birth treatment, enhancing infant outcomes.

Area of Science:

  • Cardiology
  • Prenatal Medicine
  • Neonatal Care

Background:

  • Fetal echocardiography has advanced prenatal diagnosis of congenital heart disease (CHD).
  • Some newborns with CHD require urgent postnatal intervention.
  • Effective management strategies are crucial for improving infant outcomes.

Purpose of the Study:

  • To highlight the importance of delivery and perinatal management for infants with prenatally diagnosed CHD.
  • To outline strategies for optimizing care for newborns with CHD requiring urgent intervention.
  • To emphasize the role of advance planning in improving outcomes for infants with CHD.

Main Methods:

  • Review of current practices in fetal echocardiography and prenatal diagnosis of CHD.
  • Analysis of management strategies for newborns with CHD requiring immediate postnatal intervention.
  • Discussion of delivery planning, labor monitoring, and neonatal care protocols.

Main Results:

  • Prenatal diagnosis via fetal echocardiography enables better delivery and perinatal management.
  • Planning for delivery near pediatric cardiac centers or with specialized teams is vital for infants needing urgent intervention.
  • Avoiding iatrogenic preterm delivery is a key consideration.

Conclusions:

  • Delivery planning, intrapartum monitoring, and prompt neonatal intervention are critical for infants with prenatally diagnosed CHD.
  • Coordinated care between prenatal diagnosis and pediatric cardiac services improves outcomes.
  • Proactive management strategies can significantly benefit infants with congenital heart disease.

Keywords:
Antenatal surveillanceBiophysical profileCongenital heart diseaseFetal cardiologyFetal echocardiographyNeurodevelopmentObstetric management

More Related Videos

Implantation of Total Artificial Heart in Congenital Heart Disease07:27

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

25.4K
Fetal Mouse Cardiovascular Imaging Using a High-frequency Ultrasound 30/45MHZ System07:34

Fetal Mouse Cardiovascular Imaging Using a High-frequency Ultrasound 30/45MHZ System

Published on: May 5, 2018

12.5K

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
422
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
621
Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
365
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
512
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
450
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
487