Obstetric and Neonatal Outcomes in Congenital Isolated Cardiac Anomalies - Single Center Experience
INTRODUCTION: Evidence shows that rather than postnatal diagnoses, prenatal diagnoses of congenital heart diseases are correlated with better long-term results and lower mortality rates. In this retrospective study, neonatal stage results of infants with isolated cardiac anomalies, their indications...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2020-11-01
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| Series: | Forbes Tıp Dergisi |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-39974 |
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| author | Erkan Çağlıyan Samican Ozmen Süreyya Sarıdaş Demir Aslı Akdöner Sabahattin Altunyurt Burak Deliloglu Kaan Yıldız Halise Zeynep Genç Mustafa Kır |
| author_facet | Erkan Çağlıyan Samican Ozmen Süreyya Sarıdaş Demir Aslı Akdöner Sabahattin Altunyurt Burak Deliloglu Kaan Yıldız Halise Zeynep Genç Mustafa Kır |
| author_sort | Erkan Çağlıyan |
| collection | DOAJ |
| description | INTRODUCTION: Evidence shows that rather than postnatal diagnoses, prenatal diagnoses of congenital heart diseases are correlated with better long-term results and lower mortality rates. In this retrospective study, neonatal stage results of infants with isolated cardiac anomalies, their indications for operation or intervention (if any), and the mortality rates in the first age are attempted to be demonstrated. METHODS: The study was conducted through the retrospective analysis of 47 patients who were diagnosed with fetal cardiac anomaly in the antenatal period, and monitored during natal and postnatal stages at the same center in the Departments of Obstetrics and Gynecology and Pediatric Cardiology of Dokuz Eylul University Hospital. RESULTS: In our center 36 patients gave birth by cesarean section, and 11 patients by spontaneous vaginal delivery. Two low birthweight neonates were born (<2500 g), and these neonates were observed to have hypoplastic left heart and Fallot tetralogy. Thirty-nine of the 47 neonates born with isolated cardiac anomaly were operated after birth. Five patients were advised follow-ups. The remaining 3 neonates died within 48 hours after birth. Survival rate of the operated neonates was 59.5% and the general survival rate was 59.5%. Average 1, and 5-minute APGAR scores of the infants were 7.8 (3-9) and 9.0 (8-10), respectively The neonates were operated an average of 3 days after birth, and the average duration hospitalization of neonates were 12 days. Twenty-nine neonates needed preoperative respiratory support and 37 of them received prostaglandin E1 infusion. Follow-up was advised for 3 neonates within the first month and the first year. Five neonates needed operation during the specified period, and 2 neonates died. DISCUSSION AND CONCLUSION: In conclusion, prenatal diagnosis of congenital heart diseases allows planning the delivery in tertiary care centers, stabilization of the infants in the preoperative period and realization of emergency intervention. |
| first_indexed | 2024-03-12T20:40:33Z |
| format | Article |
| id | doaj.art-d59b09e64185423aae54ecb2a14b1460 |
| institution | Directory Open Access Journal |
| issn | 2757-5241 |
| language | English |
| last_indexed | 2024-03-12T20:40:33Z |
| publishDate | 2020-11-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Forbes Tıp Dergisi |
| spelling | doaj.art-d59b09e64185423aae54ecb2a14b14602023-08-01T10:47:22ZengGalenos YayineviForbes Tıp Dergisi2757-52412020-11-0112425010.5222/forbes.2020.39974FJM-39974Obstetric and Neonatal Outcomes in Congenital Isolated Cardiac Anomalies - Single Center ExperienceErkan Çağlıyan0Samican Ozmen1Süreyya Sarıdaş Demir2Aslı Akdöner3Sabahattin Altunyurt4Burak Deliloglu5Kaan Yıldız6Halise Zeynep Genç7Mustafa Kır8Department of Obstetrics and Gynecology, Dokuz Eylul University, Izmir, TurkeyDepartment of Obstetrics and Gynecology, Dokuz Eylul University, Izmir, TurkeyDepartment of Obstetrics and Gynecology, Dokuz Eylul University, Izmir, TurkeyDepartment of Obstetrics and Gynecology, Dokuz Eylul University, Izmir, TurkeyDepartment of Obstetrics and Gynecology, Dokuz Eylul University, Izmir, TurkeyDepartment of Neonatology,Dokuz Eylul University, Izmir, TurkeyDepartment of Pediatric Cardiology,Dokuz Eylul University, Izmir, TurkeyDepartment of Pediatric Cardiology,Dokuz Eylul University, Izmir, TurkeyDepartment of Pediatric Cardiology,Dokuz Eylul University, Izmir, TurkeyINTRODUCTION: Evidence shows that rather than postnatal diagnoses, prenatal diagnoses of congenital heart diseases are correlated with better long-term results and lower mortality rates. In this retrospective study, neonatal stage results of infants with isolated cardiac anomalies, their indications for operation or intervention (if any), and the mortality rates in the first age are attempted to be demonstrated. METHODS: The study was conducted through the retrospective analysis of 47 patients who were diagnosed with fetal cardiac anomaly in the antenatal period, and monitored during natal and postnatal stages at the same center in the Departments of Obstetrics and Gynecology and Pediatric Cardiology of Dokuz Eylul University Hospital. RESULTS: In our center 36 patients gave birth by cesarean section, and 11 patients by spontaneous vaginal delivery. Two low birthweight neonates were born (<2500 g), and these neonates were observed to have hypoplastic left heart and Fallot tetralogy. Thirty-nine of the 47 neonates born with isolated cardiac anomaly were operated after birth. Five patients were advised follow-ups. The remaining 3 neonates died within 48 hours after birth. Survival rate of the operated neonates was 59.5% and the general survival rate was 59.5%. Average 1, and 5-minute APGAR scores of the infants were 7.8 (3-9) and 9.0 (8-10), respectively The neonates were operated an average of 3 days after birth, and the average duration hospitalization of neonates were 12 days. Twenty-nine neonates needed preoperative respiratory support and 37 of them received prostaglandin E1 infusion. Follow-up was advised for 3 neonates within the first month and the first year. Five neonates needed operation during the specified period, and 2 neonates died. DISCUSSION AND CONCLUSION: In conclusion, prenatal diagnosis of congenital heart diseases allows planning the delivery in tertiary care centers, stabilization of the infants in the preoperative period and realization of emergency intervention.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-39974congenital cardiac anomalypostpartum cardiac operationprenatal diagnosis |
| spellingShingle | Erkan Çağlıyan Samican Ozmen Süreyya Sarıdaş Demir Aslı Akdöner Sabahattin Altunyurt Burak Deliloglu Kaan Yıldız Halise Zeynep Genç Mustafa Kır Obstetric and Neonatal Outcomes in Congenital Isolated Cardiac Anomalies - Single Center Experience Forbes Tıp Dergisi congenital cardiac anomaly postpartum cardiac operation prenatal diagnosis |
| title | Obstetric and Neonatal Outcomes in Congenital Isolated Cardiac Anomalies - Single Center Experience |
| title_full | Obstetric and Neonatal Outcomes in Congenital Isolated Cardiac Anomalies - Single Center Experience |
| title_fullStr | Obstetric and Neonatal Outcomes in Congenital Isolated Cardiac Anomalies - Single Center Experience |
| title_full_unstemmed | Obstetric and Neonatal Outcomes in Congenital Isolated Cardiac Anomalies - Single Center Experience |
| title_short | Obstetric and Neonatal Outcomes in Congenital Isolated Cardiac Anomalies - Single Center Experience |
| title_sort | obstetric and neonatal outcomes in congenital isolated cardiac anomalies single center experience |
| topic | congenital cardiac anomaly postpartum cardiac operation prenatal diagnosis |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-39974 |
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