Prenatal detection of congenital heart disease in a low risk population undergoing first and second trimester screening

Abstract

Nearly half of 'Major CHDs' were detected prenatally. The prenatal cardiac diagnoses showed a high degree of accuracy. Increased NT thickness as a screening tool for CHD performed moderately but is an important high risk group for specialist examination. A minority of the prenatally detected CHDs was identified because of extra scans performed in high risk pregnancies. © 2014 John Wiley & Sons, Ltd.

Population trends in prenatal detection of transposition of great arteries: impact of obstetric screening ultrasound guidelines

“…Its routine application led to the detection of many forms of CHD and early incorporation into ultrasound practice guidelines. As a consequence, detection rates of > 85% have been achieved for four‐chamber pathologies, including hypoplastic left and right heart syndrome and complex cardiac pathology associated with heterotaxy syndrome.…”

Effectiveness of medical self‐experience counseling in pregnant women after echocardiographic detection of a suspected fetal heart anomaly: A longitudinal study

“…The clinical significance of many of these findings, beyond the link to an increased risk of chromosomal anomalies, remains controversial. Therefore, it is important for fetal echocardiologists to receive standard and appropriate training so that they can make an appropriate diagnosis without missing malformations or misinterpreting normal phenomena or structural variants . Moreover, once a finding of fetal CHD is conveyed to the mother, prenatal counseling should be available to provide help and support.…”

Impact of prenatal diagnosis of complex congenital heart disease on neonatal and infant morbidity and mortality

“…These technological advances coupled with improved imaging skills of the medical professionals have led to a steady increase in the rate of prenatal detection of CHD over the past 2 decades . However, there is a wide variability in the reported rates of prenatal diagnosis of complex CHD, across geographical areas, from around 21% to 80% . This variation in the reported rates is hypothesized to be multifactorial.…”