Trends in Prenatal Diagnosis, Pregnancy Termination, and Perinatal Mortality of Newborns With Congenital Heart Disease in France, 1983–2000: A Population-Based Evaluation

Khoshnood, Babak; Vigan, Catherine De; Vodovar, V.; Goujard, J; Lhomme, A.; Bonnet, Damien; Goffinet, François

doi:10.1542/peds.2004-0516

Cited by 284 publications

(313 citation statements)

References 33 publications

(26 reference statements)

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“…birth weight <2.5kg and 17% had weight< 1kg. It is reported that congenital malformations contribute highly to prenatal mortality and postnatal physical defects [18][19][20], which is consistent with our observation. WHO reported in 2004 [21] where around 2, 60,000 neonatal deaths (about 7% of all neonatal deaths) were caused by CAs.…”

Section: Discussionsupporting

confidence: 93%

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2018

JPNC

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Section: Discussionsupporting

confidence: 93%

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2018

JPNC

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“…28,30 The highest prenatal detection rates (>93%) were found in CHD with abnormal four-chamber view (hypoplastic left heart syndrome, other univentricular defects and the complex heart defects with atrial isomerism) and exceed previously published series. 5,14,29,30 Hypoplastic right heart syndrome is more frequently overlooked (prenatal detection rate 66.7%), as it may present with a relatively good right ventricular cavity around 20 weeks of gestation. 31 Significant improvements were made in the prenatal detection of several (ductal dependent) outflow tract and aortic arch anomalies that require examination of the outlet views in addition to the four-chamber view.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] About 20-30% of these heart defects are severe, defined as being potentially life threatening and requiring surgery within the first year of life. 2,[5][6][7] Only 10% of CHD cases occur in pregnancies with identifiable risk factors, such as fetal extracardiac malformations. 8,9 The current screening strategy in most western countries is a standard anomaly scan at 20 weeks of gestation.…”

Section: Introductionmentioning

confidence: 99%

Prenatal detection of congenital heart disease—results of a national screening programme

Velzen

Clur

Rijlaarsdam

et al. 2015

BJOG

204

232

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Objective Congenital heart disease (CHD) is the most common congenital malformation and causes major morbidity and mortality. Prenatal detection improves the neonatal condition before surgery, resulting in less morbidity and mortality. In the Netherlands a national prenatal screening programme was introduced in 2007. This study evaluates the effects of this screening programme. Design Geographical cohort study. Setting Large referral region of three tertiary care centres. Population Fetuses and infants diagnosed with severe CHD born between 1 January 2002 and 1 January 2012. Methods Cases were divided into two groups: before and after the introduction of screening. Main outcome measures Detection rates were calculated. Results The prenatal detection rate (n = 1912) increased with 23.9% (95% confidence interval [95% CI] 19.5–28.3) from 35.8 to 59.7% after the introduction of screening and of isolated CHD with 21.4% (95% CI 16.0–26.8) from 22.8 to 44.2%. The highest detection rates were found in the hypoplastic left heart syndrome, other univentricular defects and complex defects with atrial isomerism (>93%). Since the introduction of screening, the ‘late’ referrals (after 24 weeks of gestation) decreased by 24.3% (95% CI 19.3–29.3). Conclusions This is the largest cohort study to investigate the prenatal detection rate of severe CHD in an unselected population. A nationally organised screening has resulted in a remarkably high detection rate of CHD (59.7%) compared with earlier literature.

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“…Also the number and the subject of publication in a digital database-PubMed, suggests the steady development of prenatal cardiology and different types of registries (Fig.2) at the global level, European and Polish level as well [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] . Although our National Registry is not perfect one and would need some improvement, still it is a unique organizational "tool" as well as prenatal cardiac defects collection.…”

Section: Discussionmentioning

confidence: 99%

Selected data from the Polish National Prenatal Cardiac Pathology Registry from the year 2016

Kordjalik

Tobota

Respondek‐Liberska³

2017

Prenatal Cardiology

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Introduction: Analysis have been subjected to evaluate standard data reports from the Polish National Prenatal Cardiac Pathology Registry from the year 2016, compared to previous years. Material and methods: The methodology of this work was comparison of the data from previous years that have been published in the Prenatal Cardiology and records generated in www. orpkp.pl from the year 2016. The total number of records entered in the Registry in the year 2016 was n=774. Results: Top 10 most common prenatal CHD in 2016 were such as follow: HLHS, AVSD, VSD, d-TGA, TOF, AvS, muscular VSD, Aberrant origin R subclavian artery, RAA, CoA. In the centers Lodz and Krakow the most common prenatal congenital heart defects were severe CHD requiring surgery in 1 st month of life. In the contrast, in Warsaw the first place was taken by a “critical heart defects” regardless whether cardiac surgery was planned in first week (contemporary definition of prenatal critical heart defects) or first month - contemporary definition of severe planned heart defects of postnatal life. Conclusion: The fact that in 2016 most common cause of referrals to targeted the fetal chocardiography was abnormal, large vessels view and not the abnormal 4 chamber view of the heart, suggests more and better training of hysicians performing the screening or basic study of fetal heart in Poland.

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Trends in Prenatal Diagnosis, Pregnancy Termination, and Perinatal Mortality of Newborns With Congenital Heart Disease in France, 1983–2000: A Population-Based Evaluation

Abstract: Progress in clinical management, together with policies for increased access to prenatal diagnosis, has resulted in both a substantial increase in the prenatal diagnosis and considerable reductions in early neonatal mortality of CHD in the Parisian population.

Cited by 284 publications

References 33 publications

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Prenatal detection of congenital heart disease—results of a national screening programme

Selected data from the Polish National Prenatal Cardiac Pathology Registry from the year 2016

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