Experience with first level ultrasound and echocardiography for a selected and an unselected population
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A. Vimercati
Abstract
Objective: To evaluate the difference in prevalence, distribution and prenatal detection rate of congenital heart disease (CHD) in both newborns and second trimester termination of pregnancy (TOP) in two separate time periods.
Patients and methods: At the University Hospital of Bari, an observational study was performed, which included all cases of CHD in newborns and second trimester TOP during the periods 1998–99 and 1992–93. Prevalence, distribution and prenatal diagnosis in each group were evaluated, also selecting cases with and without known risk factors.
Results: Prevalence of CHD in livebirths and aborted fetuses did not change between the two periods and the same was observed for distribution of CHD spectrum. In the more recent period antenatal detection of CHD significantly increased only in TOP. Moreover, classifying all cases as low or high risk, detection rates were significantly increased in high risk cases while they were unchanged in the general population.
Conclusion: Our data show that antenatal detection of CHD is ameliorated by concentrating expertise and good equipment on high risk cases, while it remains low in the general
Copyright © 2002 by Walter de Gruyter GmbH & Co. KG
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Articles in the same Issue
- Cutaneous and subcutaneous infections in newborns due to anaerobic bacteria
- Repeated prenatal corticosteroids reduce glial fibrillary acidic protein in the ovine central nervous system
- Are intrapartum and neonatal deaths in breech delivery at term potentially avoidable? – A blinded controlled audit
- A comparison of clinical variables that predict adverse outcome in term infants with severe respiratory failure randomised to a policy of extracorporeal membrane oxygenation or to conventional neonatal intensive care
- Experience with first level ultrasound and echocardiography for a selected and an unselected population
- Fetal superior mesenteric artery blood flow velocimetry in normal and high-risk pregnancy
- The midwife factor in obstetric procedures and neonatal outcome
- Cerebral intracellular calcium concentrations in asphyxiated rat fetuses resuscitated with oxygen
- V-shaped deceleration differs in the pattern of carotid blood flow from variable deceleration provoked by cord compression
- Sudden intractable respiratory failure in extremely low birth weight infants with H-type tracheoesophageal fistula
- Neuropathological features of the brain in acardius acormus
- Transient postpartum diabetes insipidus in twin pregnancy associated with HELLP syndrome
- Congress Calendar
- WAPM-Newsletter No 1/2002
