MedStar Authors catalog › Details for: Neonatal and maternal outcomes of pregnancies with a fetal diagnosis of congenital heart disease using a standardized delivery room management protocol.
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Neonatal and maternal outcomes of pregnancies with a fetal diagnosis of congenital heart disease using a standardized delivery room management protocol.

by Adams, April D; Fries, Melissa H; Iqbal, Sara N.
Citation: ; Journal of Perinatology. 40(2):316-323, 2020 02..Journal: Journal of perinatology : official journal of the California Perinatal Association.Published: ; 2020; ; ISSN: 0743-8346.Full author list: Adams AD; Aggarwal N; Donofrio MT; Fries MH; Iqbal SN.UI/PMID: 31611616.Subject(s): *Cesarean Section/sn [Statistics & Numerical Data] | Retrospective Studies | *Prenatal Diagnosis | Pregnancy Outcome | Pregnancy | *Patient Care Management/st [Standards] | Patient Care Management/mt [Methods] | Male | Infant, Newborn | Humans | Hospitals, Pediatric | Heart Rate, Fetal | *Heart Defects, Congenital | Heart Defects, Congenital/th [Therapy] | Heart Defects, Congenital/di [Diagnosis] | Gestational Age | Fetal Diseases/di [Diagnosis] | Female | District of Columbia | *Delivery, Obstetric/st [Standards] | Delivery RoomsInstitution(s): MedStar Washington Hospital CenterDepartment(s): Obstetrics and Gynecology/Maternal-Fetal MedicineActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: https://dx.doi.org/10.1038/s41372-019-0528-1 (Click here) ORCID: Adams, April D http://orcid.org/0000-0001-7776-2941 (Click here) Abbreviated citation: ; J Perinatol. 40(2):316-323, 2020 02.Local Holdings: Available online through MWHC library: 1999 - 2009, Available in print through MWHC library: 1999 - 2006.Abstract: CONCLUSION: These findings demonstrate that with multidisciplinary care coordination, fetuses with a prenatal diagnosis of CHD have similar cesarean rates, labor and delivery management, and delivery room compromise as healthy fetuses.Abstract: OBJECTIVE: We sought to determine if fetuses with prenatally diagnosed congenital heart disease (CHD) were more likely to undergo cesarean delivery in the setting of a non-reassuring fetal heart rate tracing (NRFHT) and to determine if those fetuses were more likely to have a fetal acidosis.Abstract: RESULTS: Each group consisted of 143 patients. The most common reason for cesarean delivery was a NRFHT (control 31% vs CHD 35%, p = 0.67). Fetal acidosis was a rare outcome occurring in only five controls (3.5%) and 11 cases (7.7%) (p = 0.12).Abstract: STUDY DESIGN: A retrospective cohort study of neonates prenatally diagnosed with CHD from August 2010 to July 2016. The control group consisted of gestational age matched controls without CHD.

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