Diagnosis analysis and perinatal management of the 358 fetal congenital heart diseases in single center

Abstract

Objective To retrospectively analyze the diagnosis and perinatal management of fetal congenital heart disease(CHD) in our hospital during the past eight years. Methods A retrospective analysis of 358 cases of CHD diagnosed by fetal echocardiography prenatal and/or postnatal was done in Guangdong General Hospital from Jan 2006 to Dec 2013, the delivery conditions of these fetus were analyzed. Results Incidence of CHD was 1.85%(358/19 338), 297 cases were prenatal diagnosed, 61 cases were postnatal diagnosed. In the prenatal diagnosed group, 60.6%(180/297)were complex CHD. In the postnatal diagnosed group, 90.2%(55/61) were simple CHD. In the complex CHD, 96.8%(180/186) were prenatal diagnosed. In the prenatal diagnosed group, the survival rate was 68.35%(203/297), of which the simple CHD was 93.16%(109/117), the complex CHD was 52.22%(94/180). The vaginal delivery rate(46.3% vs 42.6%) in the prenatal diagnosed group was higher than the postnatal diagnosed group, the difference was significant(P<0.001). Conclusion Through standardized screening and diagnosis methods, most of the complex CHD and part of simple CHD can be prenatal diagnosed. Except for obstetric indications, vaginal delivery was suggested for all of CHD, delivery way did not affect the prognosis. Most of postnatal diagnosed CHD were simple CHD, the prognosis was good. Integrated pattern of prenatal diagnosis and postnatal treatment was completely feasible. Key words: Congenital heart defect; Diagnosis