Fetal CHD and perinatal outcomes

被引:7
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
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
收藏
页码:686 / 691
页数:6
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