Developing a Standardized Approach to Prenatal Counseling Following the Diagnosis of a Complex Congenital Heart Abnormality

2021 ◽  
pp. 105507
Author(s):  
Yulia Gendler ◽  
Einat Birk
2012 ◽  
Vol 40 (S1) ◽  
pp. 64-65
Author(s):  
J. Rychik ◽  
D. Donaghue ◽  
S. Levy ◽  
C. Fajardo ◽  
J. Combs ◽  
...  

Author(s):  
O.L. Galkina, N.A. Savel'eva, I.V. Poddubnaya

During 5 years in the first trimester of pregnancy 82 cases of congenital anomalies of fetal development were diagnosed, in 14 cases (17%) an omphalocele was found. An analysis of the results of prenatal examination of fetuses with omphalocele in an isolated and combined version has been carried out. In 78% of cases, omphalocele was combined with other fetal anomalies, most often with congenital heart defects (82%). The frequency of chromosomal abnormalities in fetuses with omphalocele was 69%. Perinatal outcome in the case of early prenatal omphalocele diagnosis is unfavorable in 93% of cases. Early prenatal diagnosis of omphalocele is possible in 100% of cases. Diagnosed in the first trimester of pregnancy, omphalocele is an indication for an extended anatomical evaluation of the fetus with the aim of forming a clinical hypothesis and conducting timely optimal prenatal counseling.


2022 ◽  
Vol 226 (1) ◽  
pp. S68-S69
Author(s):  
Katherine J. DeWeert ◽  
Sarah Gelehrter ◽  
Sunkyung Yu ◽  
Melissa Cousino Hood ◽  
Ray Lowery ◽  
...  

2015 ◽  
Vol 35 (5) ◽  
pp. 53-61 ◽  
Author(s):  
Terra Lafranchi ◽  
Patricia Lincoln

Advances in prenatal imaging allow early detection of single-ventricle congenital heart disease, which may enhance prenatal care and maximize care options and decision making. Boston Children’s Hospital’s Advanced Fetal Care Center and fetal cardiology program provide prenatal counseling and care for single-ventricle congenital heart disease. Key points for optimal prenatal counseling and education include explanation of the diagnosis, delivery, the first surgery, cardiac neurodevelopmental issues, feeding and growth issues, quality of life and long-term care, family stressors, and fetal cardiac intervention. Such counseling and education help families make the difficult decisions required in this situation.


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