Fetal Echocardiography Indications and Lack of Association between Abnormal Exams and Advanced Maternal Age: A Cross-Sectional Study - Fetal Abnormal Echocardiography
Abstract Objective To analyze the most frequent referrals for fetal echocardiography, including advanced maternal age and its association with abnormal results. Methods We included all pregnant women referred to perform fetal echocardiography (gestational age 22-32 weeks) in 2 health centers in...
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| Format: | Article |
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2021-01-01
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| Series: | Revista Brasileira de Ginecologia e Obstetrícia |
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| Online Access: | http://www.scielo.br/pdf/rbgo/v42n12/1806-9339-rbgo-42-12-805.pdf |
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| author | Daniela Tarta da Silveira Cristina Ortiz Sobrinho Valete Eliane Lucas Gesmar Volga Haddad Herdy |
| author_facet | Daniela Tarta da Silveira Cristina Ortiz Sobrinho Valete Eliane Lucas Gesmar Volga Haddad Herdy |
| author_sort | Daniela Tarta da Silveira |
| collection | DOAJ |
| description | Abstract Objective To analyze the most frequent referrals for fetal echocardiography, including advanced maternal age and its association with abnormal results. Methods We included all pregnant women referred to perform fetal echocardiography (gestational age 22-32 weeks) in 2 health centers in Rio de Janeiro, from June 2015 to June 2016. Advanced maternal age was considered when age was > 35 years at the time of delivery). Referral reasons and results were recorded, according to the Brazilian Fetal Cardiology Statement. Crude and adjusted prevalence ratios were calculated (Poisson regression). We considered p < 0.05 as significant. Results A total of 1,221 tests were analyzed. Abnormal fetal echocardiography was observed in 14.82% of the cases. The most frequent abnormalities were interventricular septal defect (6.39%), septal hypertrophy (3.35%) and atrioventricular septal defect (1.14%). Routine exams were performed in 559 women, 289 were referred for advanced maternal age and 373 were referred according to the Brazilian FetalCardiology Statement criteria. An obstetric ultrasound suggesting fetal cardiacabnormality, maternal diabetes, increased nuchal translucency, and obstetric ultrasound suggesting a noncardiac abnormality were strongly associated with an abnormal fetal echocardiography. Abnormal results were not more frequent in women with advanced maternal age when compared with the rest of the study group. Conclusions It was observed that routine exams and advancedmaternal age referrals were very frequent. Those exams were not associated to fetal echocardiography abnormalities. In this scenario, when the obstetric ultrasound suggests a fetal cardiac |
| first_indexed | 2024-04-11T18:36:35Z |
| format | Article |
| id | doaj.art-92490b65582f46079400572a8b00f22c |
| institution | Directory Open Access Journal |
| issn | 0100-7203 |
| language | English |
| last_indexed | 2024-04-11T18:36:35Z |
| publishDate | 2021-01-01 |
| publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
| record_format | Article |
| series | Revista Brasileira de Ginecologia e Obstetrícia |
| spelling | doaj.art-92490b65582f46079400572a8b00f22c2022-12-22T04:09:16ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032021-01-01421280581010.1055/s-0040-1718445Fetal Echocardiography Indications and Lack of Association between Abnormal Exams and Advanced Maternal Age: A Cross-Sectional Study - Fetal Abnormal EchocardiographyDaniela Tarta da Silveirahttps://orcid.org/0000-0002-6993-9310Cristina Ortiz Sobrinho Valetehttps://orcid.org/0000-0002-6925-4346Eliane Lucashttps://orcid.org/0000-0002-5945-8660Gesmar Volga Haddad Herdyhttps://orcid.org/0000-0002-2669-8545Abstract Objective To analyze the most frequent referrals for fetal echocardiography, including advanced maternal age and its association with abnormal results. Methods We included all pregnant women referred to perform fetal echocardiography (gestational age 22-32 weeks) in 2 health centers in Rio de Janeiro, from June 2015 to June 2016. Advanced maternal age was considered when age was > 35 years at the time of delivery). Referral reasons and results were recorded, according to the Brazilian Fetal Cardiology Statement. Crude and adjusted prevalence ratios were calculated (Poisson regression). We considered p < 0.05 as significant. Results A total of 1,221 tests were analyzed. Abnormal fetal echocardiography was observed in 14.82% of the cases. The most frequent abnormalities were interventricular septal defect (6.39%), septal hypertrophy (3.35%) and atrioventricular septal defect (1.14%). Routine exams were performed in 559 women, 289 were referred for advanced maternal age and 373 were referred according to the Brazilian FetalCardiology Statement criteria. An obstetric ultrasound suggesting fetal cardiacabnormality, maternal diabetes, increased nuchal translucency, and obstetric ultrasound suggesting a noncardiac abnormality were strongly associated with an abnormal fetal echocardiography. Abnormal results were not more frequent in women with advanced maternal age when compared with the rest of the study group. Conclusions It was observed that routine exams and advancedmaternal age referrals were very frequent. Those exams were not associated to fetal echocardiography abnormalities. In this scenario, when the obstetric ultrasound suggests a fetal cardiachttp://www.scielo.br/pdf/rbgo/v42n12/1806-9339-rbgo-42-12-805.pdfcongenital heart diseaseprenatal diagnosisfetal heartfetal ultrasonography |
| spellingShingle | Daniela Tarta da Silveira Cristina Ortiz Sobrinho Valete Eliane Lucas Gesmar Volga Haddad Herdy Fetal Echocardiography Indications and Lack of Association between Abnormal Exams and Advanced Maternal Age: A Cross-Sectional Study - Fetal Abnormal Echocardiography Revista Brasileira de Ginecologia e Obstetrícia congenital heart disease prenatal diagnosis fetal heart fetal ultrasonography |
| title | Fetal Echocardiography Indications and Lack of Association between Abnormal Exams and Advanced Maternal Age: A Cross-Sectional Study - Fetal Abnormal Echocardiography |
| title_full | Fetal Echocardiography Indications and Lack of Association between Abnormal Exams and Advanced Maternal Age: A Cross-Sectional Study - Fetal Abnormal Echocardiography |
| title_fullStr | Fetal Echocardiography Indications and Lack of Association between Abnormal Exams and Advanced Maternal Age: A Cross-Sectional Study - Fetal Abnormal Echocardiography |
| title_full_unstemmed | Fetal Echocardiography Indications and Lack of Association between Abnormal Exams and Advanced Maternal Age: A Cross-Sectional Study - Fetal Abnormal Echocardiography |
| title_short | Fetal Echocardiography Indications and Lack of Association between Abnormal Exams and Advanced Maternal Age: A Cross-Sectional Study - Fetal Abnormal Echocardiography |
| title_sort | fetal echocardiography indications and lack of association between abnormal exams and advanced maternal age a cross sectional study fetal abnormal echocardiography |
| topic | congenital heart disease prenatal diagnosis fetal heart fetal ultrasonography |
| url | http://www.scielo.br/pdf/rbgo/v42n12/1806-9339-rbgo-42-12-805.pdf |
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