Abstract
Congenital heart malformations, with an incidence of 6-8/1,000 births, represent about 30% of cases of infant mortality due to congenital abnormalities. Of these, most require immediate corrective surgery in the neonatal period. Kidney and urinary tract malformations have an incidence of approximately 1%. The development of ultrasound techniques allowed for prenatal diagnosis of many fetal malformations, some of them life-threatening. Thus, important ethical problems occur, concerning abortion or guidance of the pregnant woman to a center where the newborn will be operated in the first hours of life.
Highlights
Congenital heart malformations, with an incidence of 6-8/1,000 births, represent about 30% of cases of infant mortality due to congenital abnormalities
In the centers specialized in prenatal diagnosis, the detection rate by ultrasound performed at 11-14 weeks of pregnancy reaches 95%
If a Congenital heart diseases (CHD) is suspected, the pregnant woman is referred to a center where fetal echocardiography will be performed by a pediatric cardiologist specialized and experienced, the detection rate being 100%
Summary
Congenital heart malformations, with an incidence of 6-8/1,000 births, represent about 30% of cases of infant mortality due to congenital abnormalities. If a CHD is suspected, the pregnant woman is referred to a center where fetal echocardiography will be performed by a pediatric cardiologist specialized and experienced, the detection rate being 100%.
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