Fetal CHD and perinatal outcomes

被引：6

作者：

Ge, Christina J. ^{[1
]}

Mahle, Amanda C. ^{[2
]}

Burd, Irina ^{[2
]}

Jelin, Eric B. ^{[3
]}

Sekar, Priya ^{[4
]}

Jelin, Angie C. ^{[2
]}

机构：

[1] Wayne State Univ, Sch Med, Detroit, MI USA

[2] Johns Hopkins Sch Med, Dept Gynecol & Obstet, Baltimore, MD USA

[3] Johns Hopkins Sch Med, Dept Pediat Surg, Baltimore, MD USA

[4] Johns Hopkins Sch Med, Dept Pediat Cardiol, Baltimore, MD USA

来源：

CARDIOLOGY IN THE YOUNG | 2020年 / 30卷 / 05期

关键词：

CHD; prenatal; preterm delivery; fetal anomalies; ultrasound; CONGENITAL HEART-DEFECTS; NEONATAL CARDIAC-SURGERY; PRENATAL-DIAGNOSIS; GESTATIONAL-AGE; DISEASE; TRANSPOSITION; PREVALENCE; GROWTH; BIRTH;

D O I：

10.1017/S1047951120000785

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：686 / 691

页数：6

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