The Importance of Fetal Echocardiography in the Early Detection and Management of Postnatal Cardiac Anomalies

Abstract

Congenital heart anomalies are a significant cause of infant morbidity and mortality globally, requiring complex care from the prenatal period through adulthood. Fetal echocardiography stands out as an essential tool for the early diagnosis of these anomalies, allowing for planned therapeutic interventions and reducing the risk of severe complications after birth. The aim of this literature review is to compare neonatal outcomes between cases diagnosed in utero and those not diagnosed in utero, in order to provide solid evidence to improve clinical practices and enhance health outcomes for newborns affected by congenital heart anomalies. Additionally, it aims to promote health education in this region and in the medical field of diagnostic imaging. Studies show that prenatal diagnosis is associated with better neonatal outcomes, including lower morbidity and mortality and a reduction in the need for emergency surgeries. Despite advances in technology, the examination is still not accessible to everyone and is not routinely prescribed, resulting in the detection of heart anomalies only after birth, leading to serious complications. The literature review highlights the importance of multidisciplinary collaboration and the need for health education to improve access to early diagnosis in resource-limited areas. The review demonstrates that fetal echocardiography plays a crucial role in the early identification and effective management of congenital heart anomalies, significantly improving neonatal health outcomes.