Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : April | Volume : 11 | Issue : 4 | Page : TC12 - TC14

Role of Echocardiography in Prenatal Screening of Congenital Heart Diseases and its Correlation with Postnatal Outcome

Shivani Sharma, Navkiran Kaur, Khushpreet Kaur, Naveen Chandrashekhar Pawar

1. Junior Resident, Department Radiology, Government Medical College and Rajindra Hospital, Patiala, Punjab, India. 2. Professor and Head, Department of Radiology, Government Medical College and Rajindra Hospital, Patiala, Punjab, India. 3. Professor and Head, Department of Obstetrics and Gynecology, Government Medical College and Rajindra Hospital, Patiala, Punjab, India. 4. Junior Resident, Department of Radiology, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.

Correspondence Address :
Dr. Shivani Sharma,
Junior Resident, Department of Radiology, Rajindra Hospital and Government Medical College, Patiala-147001, Punjab, India.
E-mail: highfive7755@gmail.com

Abstract

Introduction: Congenital Heart Defects (CHDs) are one of the most common forms of congenital anomalies. Fetal echocardiography performed during second trimester aims at early diagnosis of congenital heart disease which is instrumental in proper planning of delivery, perinatal care and counselling of parents.

Aim: To evaluate the role of fetal echocardiography in prenatal screening of CHDs and to study the role of associated extracardiac anomalies.

Materials and Methods: This was a hospital based prospective and correlative type of study, done over a period of one year. Antenatal screening of fetal heart was done in mid-trimester high and low risk pregnancies. The prenatal echo findings were co-related with postnatal findings in case of any abnormality detected. The extra-cardiac anomalies associated with positive cases were evaluated and studied for their impact on postnatal outcome.

Results: A total of 1200 pregnancies were screened out of which 672 were low risk and 528 were high risk. The cases with abnormal echo findings were followed postnatally. The overall incidence of CHD in study population was 15 per 1000. The incidence in high and low risk pregnancies were 16.3 and 13.25 per thousand respectively. Complete agreement of 68.17% was found between prenatal and postnatal findings. The most frequent Extra-Cardiac Anomalies (ECA) in cases with CHD was of musculoskeletal system. The CHD cases with ECA were significantly of low birth weight, born preterm and delivered by Lower Segment Caesarean Section (LSCS).

Conclusion: Fetal heart is the most overlooked part in every routine anomaly scan. We conclude that fetal echocardiography should be an integral part of every second trimester anomaly scan for all pregnant females irrespective of their risk factors. The associated ECAs are another factor that causes increased mortality both in antenatal and neonatal life, again warranting an early fetal echo.

Keywords

Extra-cardiac anomalies, Fetal heart, Second trimester

How to cite this article :

Shivani Sharma, Navkiran Kaur, Khushpreet Kaur, Naveen Chandrashekhar Pawar. ROLE OF ECHOCARDIOGRAPHY IN PRENATAL SCREENING OF CONGENITAL HEART DISEASES AND ITS CORRELATION WITH POSTNATAL OUTCOME. Journal of Clinical and Diagnostic Research [serial online] 2017 April [cited: 2017 May 27 ]; 11:TC12-TC14. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=April&volume=11&issue=4&page=TC12-TC14&id=9750

DOI and Others

DOI: 10.7860/JCDR/2017/25929.9750


Date of Submission: Dec 09, 2016
Date of Peer Review: Jan 09, 2017
Date of Acceptance: Feb 06, 2017
Date of Publishing: Apr 01, 2017


Financial OR OTHER COMPETING INTERESTS: None.

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