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EP09.11: Prenatal diagnosis of congenital heart defects and voluntary termination of pregnancy: the attitude of women in Italy
Author(s) -
Montaguti E.,
Perolo A.,
Balducci A.,
Livi A.,
Pilu G.
Publication year - 2019
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.21292
Subject(s) - medicine , pregnancy , prenatal diagnosis , referral , gestational age , gestation , retrospective cohort study , fetal echocardiography , obstetrics , pediatrics , population , fetus , medical diagnosis , surgery , radiology , family medicine , genetics , biology , environmental health
Methods This was a retrospective study of patients that were referred to our center between January 2013 and March 2019, underwent fetal echocardiography and were counselled by a perinatologist and pediatric cardiologist. The following information were collected: prenatal diagnosis, including genetic testing, gestational age at diagnosis and outcome of pregnancy. The diagnoses were stratified according to the type of CHD and according to its severity (simple, moderate, great complexity) retrospectively by a perinatologist and a pediatric cardiologist. Conclusion: In our population the decision to terminate a pregnancy after the diagnosis of isolated CHDs is influenced by the surgical complexity of the CHD itself and the chance of biventricular reconstruction. However, the majority of patients, including those with the most severe forms of CHD decided to continue the pregnancy. Figure 1. Distribution of CHDs among women referred for a fetal echocardiography at our clinic.