Why the study?
In Egypt, congenital heart defects are the most prevalent congenital defect and the primary cause of newborn mortality, motivating late first-trimester screening.
Does late first-trimester fetal cardiac screening detect cardiac anomalies in low-risk pregnant women?
Does late first-trimester fetal cardiac screening detect cardiac anomalies in low-risk pregnant women?
First-trimester fetal cardiac screening can help identify normal pregnancies and those requiring further pediatric cardiology evaluation for congenital heart defects.
First-trimester cardiac screening feasible in low-risk Egyptian cohort; leaves open diagnostic performance and clinical adoption pending validation.
Background: In Egypt, congenital heart defects (CHDs) are the most prevalent congenital defect and the main reason of newborn mortality. Aim and objectives: to do late first-trimester screening to detect cardiac anomalies in pregnant women (12-14) wks. Mean (13wks). Subjects and methods: This prospective research was carried out on 250 pregnant women coming to the Obstetrics and Gynecology department at Al-Azhar University hospitals of Assiut. The duration of the study ranged from 6-12 months. Result: Meanwhile, high significant differences were found in right and left flow tact between the period from 14 weeks to 22 weeks (pst trimester. Conclusion: The 1st trimester heart ultrasound is meant to help doctors sort out the "normal" pregnancies from the ones that need further examination and the help of a pediatric cardiologist. Assuring expecting mothers that their babies are healthy, conducting short- to medium-term follow-ups in suspicious instances, therapy families affected by cardiac anomalies, offering the possibility of transobstetrical oocyte preimplantation genetic screening (TOPGS) earlier in the pregnancy, and identifying associated chromosomal disorders are all benefits of detecting CHD in the 1st trimester.
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Mustafa et al. (2023) studied this question.
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