Document Detail


Dextrocardia in pregnancy: 20 years' experience.
MedLine Citation:
PMID:  16913549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To identify all pregnancies complicated by maternal dextrocardia and report the obstetric performance in these patients. STUDY DESIGN: A retrospective review of all deliveries between May 1984 and December 2004 at Prince of Wales Hospital, Chinese University of Hong Kong. Maternal demographic data as well as information on the antenatal course and delivery outcome were abstracted from the maternal records. Neonatal record review yielded information on the gestational age at delivery, birth weight, Apgar scores, sex and neonatal conditions after delivery. RESULTS: Fifteen singleton pregnancies in 9 patients with dextrocardia were identified. There were 6 pregnancies in 3 patients with situs inversus and 9 pregnancies in 6 patients with isolated dextrocardia. There were no apparent antenatal complications. None of the patients developed any cardiac symptoms antenatally. All the infants had a 5-minute Apgar score > 7. Four small-for-gestational-age (SGA) infants, defined after correcting for parity, gestational age, maternal height and maternal entry weight, occurred in patients with situs inversus. This is significantly different from the 10% expected (p < 0.002). No SGA infants were born to patients with isolated dextrocardia. CONCLUSION: Pregnancies complicated by maternal isolated dextrocardia did not have any detrimental effect on the disease or vice versa. However, SGA infants should be watched in patients with situs inversus.
Authors:
Tak Yuen Fung; Daniel Lin Wai Chan; Tse Ngong Leung; Tak Yeung Leung; Tze Kin Lau
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  51     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-08-17     Completed Date:  2006-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  573-7     Citation Subset:  IM    
Affiliation:
Fetal Medicine Team, Department of Obstetrics and Gynaecology, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, NT, Hong Kong. fungty@ha.org.hk
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MeSH Terms
Descriptor/Qualifier:
Adult
Dextrocardia / complications*
Female
Humans
Infant, Newborn
Infant, Small for Gestational Age*
Pregnancy
Pregnancy Complications, Cardiovascular / etiology*
Pregnancy Outcome
Retrospective Studies
Situs Inversus / complications*

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