Document Detail


Outcome of infants with prenatally diagnosed congenital heart disease delivered outside specialist paediatric cardiac centres.
MedLine Citation:
PMID:  23172766     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To determine the outcome of neonates with a suspected antenatal diagnosis of congenital heart disease (CHD) who were delivered away from a paediatric cardiothoracic centre and were initially managed in a level 3 Neonatal Intensive Care Unit. METHODS: An 18-year ongoing study conducted in a single institution. RESULTS: Between 1992 and 2009, 143 fetuses with suspected CHD were identified, and 124 babies were delivered locally. 13 babies with a normal postnatal echocardiogram and six with isolated arrhythmias were excluded from the study. Structural CHD was confirmed in 105 infants; of these, 94 (90%) survived the neonatal period. Of the 11 neonatal deaths, only four of these infants underwent surgery; most had additional risk factors including: prematurity, very low birth weight, and genetic and other structural congenital anomalies. CONCLUSIONS: This study demonstrates that appropriately selected infants with antenatally diagnosed CHD can be safely delivered and initially managed in a non-cardiac centre during their neonatal period. Deliveries need to be carefully planned with close collaboration among neonatologists, obstetricians, paediatric cardiologists, mid-wives and parents.
Authors:
Katherine Anagnostou; Lisa Messenger; Robert Yates; Wilf Kelsall
Related Documents :
23300506 - Cytomegalovirus-associated esophageal ulcer in an immunocompetent infant: when should g...
8431326 - Extra inspiratory work of breathing imposed by cricothyrotomy devices.
24741536 - Retinopathy of prematurity: risk factors and role of antenatal betamethasone in indian ...
19029196 - A novel method of distal end-tidal co2 capnography in intubated infants: comparison wit...
12496226 - Growth and body composition in preterm infants with bronchopulmonary dysplasia.
1401176 - Glutathione s-transferases in neonatal liver disease.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-21
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  -     ISSN:  1468-2052     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Neonatal Intensive Care Unit, Cambridge University Hospital NHS Trust, Cambridge, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Cognitive Impairment in Parkinson Disease: Impact on Quality of Life, Disability, and Caregiver Burd...
Next Document:  Antemortem cranial MRI compared with postmortem histopathologic examination of the brain in term inf...