Neonatal and maternal outcomes of pregnancies with a fetal diagnosis of congenital heart disease using a standardized delivery room management protocol.

MedStar author(s):
Citation: Journal of Perinatology. 40(2):316-323, 2020 02.PMID: 31611616Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Maternal-Fetal MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cesarean Section/sn [Statistics & Numerical Data] | *Delivery, Obstetric/st [Standards] | *Heart Defects, Congenital | *Patient Care Management/st [Standards] | *Prenatal Diagnosis | Delivery Rooms | District of Columbia | Female | Fetal Diseases/di [Diagnosis] | Gestational Age | Heart Defects, Congenital/di [Diagnosis] | Heart Defects, Congenital/th [Therapy] | Heart Rate, Fetal | Hospitals, Pediatric | Humans | Infant, Newborn | Male | Patient Care Management/mt [Methods] | Pregnancy | Pregnancy Outcome | Retrospective StudiesYear: 2020Local holdings: Available online through MWHC library: 1999 - 2009, Available in print through MWHC library: 1999 - 2006ISSN:
  • 0743-8346
Name of journal: Journal of perinatology : official journal of the California Perinatal AssociationAbstract: 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.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.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).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.All authors: Adams AD, Aggarwal N, Donofrio MT, Fries MH, Iqbal SNOriginally published: Journal of Perinatology. 2019 Oct 14Fiscal year: FY2020Digital Object Identifier: ORCID: Date added to catalog: 2019-11-05
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 31611616 Available 31611616

Available online through MWHC library: 1999 - 2009, Available in print through MWHC library: 1999 - 2006

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.

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.

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).

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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