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Abnormal findings in fetal echocardiography and maternal disease: A cross-sectional study
Alipour, Mohammad Reza; Moradi, Hossein; Namayandeh, Seyedeh Mahdieh; Majidpoure, Fatemeh; Pezeshkpour, Zohreh & Sarebanhasanabadi, Mohammadtaghi
Abstract
Background: Congenital cardiovascular malformation is the most common group of
birth defects. Fetal echocardiography is highly sensitive and specific in the diagnosis
of congenital heart disease in low- and high-risk populations.
Objective: This study aimed to assess abnormal findings in fetal echocardiography and
maternal disease.
Materials and Methods: This cross-sectional study was performed on 114 pregnant
women referred to Afshar hospital, Yazd, Iran from October 2016 to March 2017. All
pregnant women underwent fetal echocardiography through fetal heart screening
protocol, which is administered by the international society of ultrasound in obstetrics
and gynecology guidelines. Data collected included referral cause, gestational age,
maternal age, gravida, and final diagnosis after an accurate fetal echocardiography.
Results: The mean gestational age was 20 wk. The most common referral cause of
pregnant women included diabetes (36.8%), fetal arrhythmia (14%), high maternal age
(7%), and echogenic focus on ultrasound (6.1%). The most common postpartum findings
were normal (68.4%), cardiac abnormalities (17.6%), and arrhythmias (14%). In postnatal
echocardiography, the results were consistent with fetal echocardiography except in 2
women.
Conclusion: This study showed that fetal echocardiography can be used in the early
diagnosis and treatment of congenital heart diseases.
Keywords
Fetus; Echocardiography; Heart defects; Congenital.
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