Fetal CHD and perinatal outcomes.

Abstract:

OBJECTIVE:To evaluate delivery management and outcomes in fetuses prenatally diagnosed with CHD. STUDY DESIGN:A retrospective cohort study was conducted on 6194 fetuses (born between 2013 and 2016), comparing prenatally diagnosed with CHD (170) to those with non-cardiac (234) and no anomalies (5790). Primary outcomes included the incidence of preterm delivery and mode of delivery. RESULTS:Gestational age at delivery was significantly lower between the CHD and non-anomalous cohorts (38.6 and 39.1 weeks, respectively). Neonates with CHD had a significantly lower birth weights (p < 0.001). There was an approximately 1.5-fold increase in the rate of primary cesarean sections associated with prenatally diagnosed CHD with an odds ratio of 1.49 (95% CI 1.06-2.10). CONCLUSIONS:Our study provides additional evidence that the prenatal diagnosis of CHD is associated with a lower birth weight, preterm delivery, and with an increased risk of delivery by primary cesarean section.

journal_name

Cardiol Young

journal_title

Cardiology in the young

authors

Ge CJ,Mahle AC,Burd I,Jelin EB,Sekar P,Jelin AC

doi

10.1017/S1047951120000785

subject

Has Abstract

pub_date

2020-05-01 00:00:00

pages

686-691

issue

5

eissn

1047-9511

issn

1467-1107

pii

S1047951120000785

journal_volume

30

pub_type

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