Preterm Birth of Infants Prenatally Diagnosed with Congenital Heart Disease, Characteristics, Associations, and Outcomes

Mustafa, Hiba J.; Cross, Sarah; Jacobs, Katherine; Tessier, Katelyn M.; Tofte, Alena N.; McCarter, Allison R.; Narasimhan, Shanti

doi:10.1007/s00246-020-02345-8

Cited by 9 publications

(6 citation statements)

References 41 publications

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“…We found in the current study that the incidence of CHD among preterm infants was 7.9% it was about four folded than that found in term infants, (p value <0.001 ), these results were rather similar to that found by Chu et al and Mustafa et al, while patricia et al was found more incidence of CHD in preterm born infants (116/1000) and lesser for term newborns (6-10/ 1000), this may be due to the design of the last study which was retrospective because still we have many deliveries occur at home and not reported in the study and this is mostly for term newborns. Anyhow there was more incidence of CHD in preterm delivered babies than term one, this might be explained by early initiation of delivery mechanism due to CHD due to hypoxia or other pathophysiology like intrauterine tachycardia or overactive or compromised cardiac muscles [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Congenital Heart Disease In Preterm Infants

A Jassam,

S. Mahmood,

Q. Mahmood

2023

DJM

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Background: Congenital heart defects and preterm birth are two important causes of neonatal and infant mortality. However, the relationship between them has not yet been fully clarified. Objective: To find the association of congenital heart disease with premature delivery. Patients and Methods: The study is an observational cross sectional study, done in Al-Batool teaching hospital for maternity and children from July 2022 to January 2023. A self-prepared questionnaire was used to gather data. Gestational age was calculated mainly on postnatal gestational assessment by Dubowitz/Ballard method by a pediatrician. Echocardiography was done by Echocardiography specialist doctor to identify the presence and types of congenital heart defects. SPSS version 25 was used for statistical analysis. Results: Total number of births (term and preterm) was 1616, congenital heart diseases were detected in 60(3.71%) of them, most of them were isolated heart defect. In preterm babies, the congenital heart diseases were detected in 8% (p value was <0.001), they were of different types as followings: patent ductus arteriosus (n=10,26%), atrial septal defect (n=8,21%), ventricular septal defect (n=7,18%), transposition of the great arteries (n=4,10%), tetralogy of Fallot (n=2,5%), and complex of congenital heart disease (n=7,18%), while in full term babies, the rate of congenital heart diseases was only 1.9%. Conclusion: The incidence of congenital heart disease was higher in preterm than full term delivered babies, mostly in the group of transposition of the great arteries, ventricular septal defect, complex heart defects, followed by atrial septal defect. Keywords: Preterm, delivery, congenital heart disease.

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Section: Discussionmentioning

confidence: 99%

Congenital Heart Disease In Preterm Infants

A Jassam,

S. Mahmood,

Q. Mahmood

2023

DJM

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“…Since the 1970s, prostaglandin E 1 infusion has been used to maintain ductal-dependent circulation in newborns ( 44 , 45 ) The availability of prostaglandin E 1 at hospitals have been associated with decreased neonatal morbidity by permitting the stable transfer of newborns with suspected congenital heart defects to a cardiac surgical center ( 46 ). Continuous prostaglandin E 1 infusion has also permitted more time after delivery for optimal surgical planning and even delay surgery for growth in preterm or growth-restricted neonates ( 47 ).…”

Section: Neonatal Carementioning

confidence: 99%

Narrative review of single ventricle: where are we after 40 years?

Corno¹,

Findley²,

Salazar³

2023

Transl Pediatr

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Background and Objective: Key medical and surgical advances have been made in the longitudinal management of patients with "functionally" single ventricle physiology, with the principles of Fontan circulation applied to other complex congenital heart defects. The purpose of this article is to review all of the innovations, starting from fetal life, that led to a change of strategy for single ventricle.Methods: Our literature review included all full articles published in English language on the Cochrane, MedLine, and Embase with references to "single ventricle" and "univentricular hearts", including the initial history of the treatments for this congenital heart defects as well as the innovations reported within the last decades.

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“…Children with CHD have two times the odds of preterm birth compared to the general population 5 . Children with CHD who were born preterm suffer a double burden of mortality and morbidity, including higher risks of long‐term chronic health conditions, neurodevelopmental and psychosocial issues, 6,7 and worse post‐surgical outcomes than children with CHD born at term 8–11 . CHD is also associated with more complex educational needs.…”

Section: Introductionmentioning

confidence: 99%

“… 5 Children with CHD who were born preterm suffer a double burden of mortality and morbidity, including higher risks of long‐term chronic health conditions, neurodevelopmental and psychosocial issues, 6 , 7 and worse post‐surgical outcomes than children with CHD born at term. 8 , 9 , 10 , 11 CHD is also associated with more complex educational needs. In a study using linked administrative health and education data from England, children with cardiovascular conditions including CHD had a greater cumulative incidence of special education needs provision by age 11 than children without a chronic health condition, both for those born at 40 weeks (50.1% versus 28.8%) and preterm (68.0% versus 48.0% at 24–32 weeks).…”

Section: Introductionmentioning

confidence: 99%

Trends in survival of children with severe congenital heart defects by gestational age at birth: A population‐based study using administrative hospital data for England

Gimeno

Brown

Harron

et al. 2023

Paediatric Perinatal Epid

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Background: Children with congenital heart defects (CHD) are twice as likely as their peers to be born preterm (<37 weeks' gestation), yet descriptions of recent trends in long-term survival by gestational age at birth (GA) are lacking.Objectives: To quantify changes in survival to age 5 years of children in England with severe CHD by GA. Methods:We estimated changes in survival to age five of children with severe CHD and all other children born in England between April 2004 and March 2016, overall and by GA-group using linked hospital and mortality records.

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Preterm Birth of Infants Prenatally Diagnosed with Congenital Heart Disease, Characteristics, Associations, and Outcomes

Cited by 9 publications

References 41 publications

Congenital Heart Disease In Preterm Infants

Congenital Heart Disease In Preterm Infants

Narrative review of single ventricle: where are we after 40 years?

Trends in survival of children with severe congenital heart defects by gestational age at birth: A population‐based study using administrative hospital data for England

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