Key result
Prenatal diagnosis and management of congenital heart disease requires a multidisciplinary approach involving fetal echocardiography, extensive counseling, and coordinated pre- and post-natal care.
Prenatal diagnosis of congenital heart disease requires a multidisciplinary approach involving fetal echocardiography, extensive counseling, and coordinated perinatal care.
Affirms multidisciplinary fetal cardiology teams as essential; leaves open optimal protocols and outcome impacts in varied settings.
Prenatal diagnosis of congenital heart disease is a very important and a challenging discipline which has evolved essentially in the last two decades with advancement in sonography and echocardiography. The scope has changed gradually from only fetal diagnosis to a possible chance of fetal intervention. It involve extensive counseling of the family before evaluation, performing a diagnostic test with a high degree of sensitivity and specifity which in this case is fetal echocardiography, post evaluation counseling of the family, in-utero care of the fetus diagnosed to have CHD, arrangements of safe delivery at a centre well equipped with all modalities in neonatal practice, post delivery care of the newborn. It essentially requires active participation of all members of the team comprising of the obstetrician, pediatric cardiologist, neonatologist and pediatric cardiac surgeon.
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Sachdev et al. (2006) conducted a review in Congenital heart disease. Prenatal diagnosis and management was evaluated. Prenatal diagnosis and management of congenital heart disease requires a multidisciplinary approach involving fetal echocardiography, extensive counseling, and coordinated pre- and post-natal care.
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