Trupti Deepak Changlani1, Annu Jose, Abish Sudhakar, Reshma Rojal, Radhamany Kunjikutty, Balu Vaidyanathan. 1. Departments of Pediatric Cardiology and *Obstetrics and Gynecology, Amrita Institute of Medical Sciences and Research Centre, AIMS Ponekkara P.O, Kochi, Kerala, India. Correspondence to: Dr Balu Vaidyanathan, Clinical Professor, Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala 682 041, India. baluvaidyanathan@gmail.com.
Abstract
OBJECTIVE: To report short-term outcomes of infants with prenatally diagnosed Congenital Heart Disease (CHD) delivered in a tertiary-care cardiac facility. DESIGN: Retrospective study. SETTING: Tertiary-care referral hospital. PARTICIPANTS: Children with prenatally diagnosed CHDs who underwent delivery at study centre during the period January 2008 - December 2013 were included. Outcomes tracked from hospital records and direct follow-up. RESULTS: Of the 552 fetuses diagnosed to have CHD, 121 (22%) were delivered at the study centre. Fetuses undergoing a planned delivery were diagnosed in late gestation (mean gestational age 31.5 ± 5.1 wk). 74 fetuses (61.2%) had simple CHD and rest were complex. 96 (79.3%) neonates received cardiac care; 30 (24.8%) required surgery while 5 received catheter-based interventions. 11 patients underwent surgery on follow-up. Neonatal survival in cardiac care group was 93.8%; on follow-up (12.5 ± 13.1 mo); 83 (86.4%) of these infants were alive. All infants undergoing neonatal surgery or catheter-based interventions survived. 25 patients (20.6%) received comfort care (Complex CHD, associated co-morbidities); 14 (56%) survived neonatal period and 6 (24%) were alive on follow-up. CONCLUSIONS: Infants with prenatal diagnosis of CHD and planned delivery in a cardiac facility had satisfactory immediate outcomes, expecially in those receiving specialized post-natal cardiac care.
OBJECTIVE: To report short-term outcomes of infants with prenatally diagnosed Congenital Heart Disease (CHD) delivered in a tertiary-care cardiac facility. DESIGN: Retrospective study. SETTING: Tertiary-care referral hospital. PARTICIPANTS: Children with prenatally diagnosed CHDs who underwent delivery at study centre during the period January 2008 - December 2013 were included. Outcomes tracked from hospital records and direct follow-up. RESULTS: Of the 552 fetuses diagnosed to have CHD, 121 (22%) were delivered at the study centre. Fetuses undergoing a planned delivery were diagnosed in late gestation (mean gestational age 31.5 ± 5.1 wk). 74 fetuses (61.2%) had simple CHD and rest were complex. 96 (79.3%) neonates received cardiac care; 30 (24.8%) required surgery while 5 received catheter-based interventions. 11 patients underwent surgery on follow-up. Neonatal survival in cardiac care group was 93.8%; on follow-up (12.5 ± 13.1 mo); 83 (86.4%) of these infants were alive. All infants undergoing neonatal surgery or catheter-based interventions survived. 25 patients (20.6%) received comfort care (Complex CHD, associated co-morbidities); 14 (56%) survived neonatal period and 6 (24%) were alive on follow-up. CONCLUSIONS:Infants with prenatal diagnosis of CHD and planned delivery in a cardiac facility had satisfactory immediate outcomes, expecially in those receiving specialized post-natal cardiac care.
Authors: N D Varunashree; Ravi Shankar; Preethi Navaneethan; Manish Kumar; Santosh Joseph Benjamin; Smitha Elizabeth Jacob; Bijesh Yadav; Swati Rathore Journal: J Obstet Gynaecol India Date: 2021-03-03