Fetal Echocardiography:Short Term Profle from Shahid Gangalal National Heart Centre, Kathmandu, Nepal
Journal Title: Nepalese Heart Journal - Year 2016, Vol 13, Issue 1
Abstract
Background and Aims: Fetal echocardiography is helpful in early detection of Congenital Heart Disease.Our study was conducted to evaluate the most common indications of referral and outcome in a tertiary-care fetal echocardiography practice. Methods: A Cross-sectional analysis of all pregnant women referred by obstetricians to cardiology unit for fetal echocardiography over a 1-year period (July 2014 and July 2015) was performed. The primary indications for referral for fetal echocardiography were obtained from the obstetric referral forms. Outcome data were extracted from performa containing client’s demographic, physical examination and the fetal echocardiograhic data. Postnatal Echocardiography was advised to all cases having positive echocardiographic fnding. Results: A series of 251 fetal cardiac studies were reviewed. Average gestational age was 25.6 weeks (range, 18 to 38 weeks). Thirty-eight (15.1%) pregnant women had abnormal fetal cardiac fndings. The most common referral for fetal cardiac scan was related to maternal indications (48.6%). Other indications were abnormal prenatal fetal fndings in ultrasonography (23.1%), family history of CHD (12%), general screening (15.5%), and follow up of IVF(In-vitro fertilization) (0.8%). The highest yield of signifcant abnormal fndings was there among patients referred with abnormal prenatal fetal fnding in ultrasonography (47%). Conclusion: Majority of referral were for abnormal prenatal ultrasonographic fndings. So, fetal echocardiography is an important part of overall management of the pregnancy at risk for producing an infant with congenital heart disease.
Authors and Affiliations
Sudhir Regmi| Department of cardiology, National Academy of Medical sciences, Bir Hospital, Kathmandu,Nepal, Deewakar Sharma| Corresponding Author: Sudhir Regmi. Department of cardiology, National Academy of Medical sciences, Bir Hospital, Kathmandu, Nepal
Keywords
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- EP ID EP15768
- DOI http://dx.doi.org/10.3126/njh.v13i1.14538
- Views 385
- Downloads 18
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