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- Title
Fetal CHD and perinatal outcomes.
- Authors
Ge, Christina J.; Mahle, Amanda C.; Burd, Irina; Jelin, Eric B.; Sekar, Priya; Jelin, Angie C.
- Abstract
<bold>Objective: </bold>To evaluate delivery management and outcomes in fetuses prenatally diagnosed with CHD.<bold>Study Design: </bold>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.<bold>Results: </bold>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).<bold>Conclusions: </bold>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.
- Subjects
UNITED States; CESAREAN section; LOW birth weight; GESTATIONAL age; ODDS ratio; DATABASES; PREMATURE infants; PRENATAL diagnosis; CONGENITAL heart disease; RETROSPECTIVE studies; PREGNANCY outcomes; RESEARCH funding
- Publication
Cardiology in the Young, 2020, Vol 30, Issue 5, p686
- ISSN
1047-9511
- Publication type
journal article
- DOI
10.1017/S1047951120000785