Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal Outcome
Introduction: Congenital Heart Defects (CHDs) are one of the most common forms of congenital anomalies. Fetal echocardiography performed during second trimester aims at early diagnosis of congenital heart disease which is instrumental in proper planning of delivery, perinatal care and counsellin...
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| Format: | Article |
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JCDR Research and Publications Private Limited
2017-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/9750/25929_CE[Ra1]_F(RK)_PF1(SwG_PY)_PFA(SS)_PF2(P_NESY).pdf |
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| author | SHIVANI SHARMA NAVKIRAN KAUR KHUSHPREET KAUR NAVEEN CHANDRASHEKHAR PAWAR |
| author_facet | SHIVANI SHARMA NAVKIRAN KAUR KHUSHPREET KAUR NAVEEN CHANDRASHEKHAR PAWAR |
| author_sort | SHIVANI SHARMA |
| collection | DOAJ |
| description | Introduction: Congenital Heart Defects (CHDs) are one
of the most common forms of congenital anomalies. Fetal
echocardiography performed during second trimester aims at
early diagnosis of congenital heart disease which is instrumental
in proper planning of delivery, perinatal care and counselling of
parents.
Aim: To evaluate the role of fetal echocardiography in prenatal
screening of CHDs and to study the role of associated
extracardiac anomalies.
Materials and Methods: This was a hospital based prospective
and correlative type of study, done over a period of one year.
Antenatal screening of fetal heart was done in mid-trimester
high and low risk pregnancies. The prenatal echo findings were
co-related with postnatal findings in case of any abnormality
detected. The extra-cardiac anomalies associated with positive
cases were evaluated and studied for their impact on postnatal
outcome.
Results: A total of 1200 pregnancies were screened out of
which 672 were low risk and 528 were high risk. The cases with
abnormal echo findings were followed postnatally. The overall
incidence of CHD in study population was 15 per 1000. The
incidence in high and low risk pregnancies were 16.3 and 13.25
per thousand respectively. Complete agreement of 68.17%
was found between prenatal and postnatal findings. The most
frequent Extra-Cardiac Anomalies (ECA) in cases with CHD
was of musculoskeletal system. The CHD cases with ECA were
significantly of low birth weight, born preterm and delivered by
Lower Segment Caesarean Section (LSCS).
Conclusion: Fetal heart is the most overlooked part in every
routine anomaly scan. We conclude that fetal echocardiography
should be an integral part of every second trimester anomaly
scan for all pregnant females irrespective of their risk factors.
The associated ECAs are another factor that causes increased
mortality both in antenatal and neonatal life, again warranting
an early fetal echo. |
| first_indexed | 2024-12-11T19:01:30Z |
| format | Article |
| id | doaj.art-e6e9d5e9aa7b4a24a29e2c8ca6bc45f0 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-11T19:01:30Z |
| publishDate | 2017-04-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-e6e9d5e9aa7b4a24a29e2c8ca6bc45f02022-12-22T00:54:01ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-04-01114TC12TC1410.7860/JCDR/2017/25929.9750Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal OutcomeSHIVANI SHARMA0NAVKIRAN KAUR1KHUSHPREET KAUR2NAVEEN CHANDRASHEKHAR PAWAR3Junior Resident, Department Radiology, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.Professor and Head, Department of Radiology, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.Professor and Head, Department of Obstetrics and Gynecology, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.Junior Resident, Department of Radiology, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.Introduction: Congenital Heart Defects (CHDs) are one of the most common forms of congenital anomalies. Fetal echocardiography performed during second trimester aims at early diagnosis of congenital heart disease which is instrumental in proper planning of delivery, perinatal care and counselling of parents. Aim: To evaluate the role of fetal echocardiography in prenatal screening of CHDs and to study the role of associated extracardiac anomalies. Materials and Methods: This was a hospital based prospective and correlative type of study, done over a period of one year. Antenatal screening of fetal heart was done in mid-trimester high and low risk pregnancies. The prenatal echo findings were co-related with postnatal findings in case of any abnormality detected. The extra-cardiac anomalies associated with positive cases were evaluated and studied for their impact on postnatal outcome. Results: A total of 1200 pregnancies were screened out of which 672 were low risk and 528 were high risk. The cases with abnormal echo findings were followed postnatally. The overall incidence of CHD in study population was 15 per 1000. The incidence in high and low risk pregnancies were 16.3 and 13.25 per thousand respectively. Complete agreement of 68.17% was found between prenatal and postnatal findings. The most frequent Extra-Cardiac Anomalies (ECA) in cases with CHD was of musculoskeletal system. The CHD cases with ECA were significantly of low birth weight, born preterm and delivered by Lower Segment Caesarean Section (LSCS). Conclusion: Fetal heart is the most overlooked part in every routine anomaly scan. We conclude that fetal echocardiography should be an integral part of every second trimester anomaly scan for all pregnant females irrespective of their risk factors. The associated ECAs are another factor that causes increased mortality both in antenatal and neonatal life, again warranting an early fetal echo.https://jcdr.net/articles/PDF/9750/25929_CE[Ra1]_F(RK)_PF1(SwG_PY)_PFA(SS)_PF2(P_NESY).pdfextra-cardiac anomaliesfetal heartsecond trimester |
| spellingShingle | SHIVANI SHARMA NAVKIRAN KAUR KHUSHPREET KAUR NAVEEN CHANDRASHEKHAR PAWAR Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal Outcome Journal of Clinical and Diagnostic Research extra-cardiac anomalies fetal heart second trimester |
| title | Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal Outcome |
| title_full | Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal Outcome |
| title_fullStr | Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal Outcome |
| title_full_unstemmed | Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal Outcome |
| title_short | Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal Outcome |
| title_sort | role of echocardiography in prenatal screening of congenital heart diseases and its correlation with postnatal outcome |
| topic | extra-cardiac anomalies fetal heart second trimester |
| url | https://jcdr.net/articles/PDF/9750/25929_CE[Ra1]_F(RK)_PF1(SwG_PY)_PFA(SS)_PF2(P_NESY).pdf |
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