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2015 | 5 | 4 | 19-25
Tytuł artykułu

Assessment of the accuracy in prenatal diagnosis of congenital malformations. Analysis of 101 questionnaires filled in by parents of neonates hospitalized in the Department of Congenital Malformations Polish Mother's Memorial Research Institute

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EN
Abstrakty
EN
Introduction: Prenatal diagnosis is an integral part of modern perinatal care. In the article results of questionnaires pertaining to the prenatal process of diagnosis are presented. Parents whose children were afflicted with congenital malformations of all types responded to enquiry Materials and methods: Between March 2014 and March 2015 150 of 355 infants were hospitalized in the Department of Pediatric Intensive Care and Congenital Malformations in Łódź, and 150 had congenital malformations. Results: 101 parents of 150 children (67,3%) have given the feedback. Anomalies were such as: of the digestive system (37%), CHD (25%), OUN (14 %), genito-urinary (13%), skeletal system (9%) and respiratory system (2%). In 65 children of 101 the defects were detected prenatally. The obstetric US exam was the most frequently pointed out as performed (more than 1200). The biochemical markers and genetic tests in were performed in 34 pregnancies. The high percentage of ability to detect malformation was reported in the group of fetal echo examinations. Conclusions: 1. Prenatal ultrasound exams were the least effective method of making appropriate prenatal diagnosis of congenital malformation. 2. Fetal echocardiography had a high level of sensitivity and specificity in detecting congenital malformations. 3. Prenatal cardiologists proved to be the most effective in detecting congenital malformations 89,3 % of detected abnormalities. 4. Biochemical exams had a positive result in only one case of Down Syndrome.
Wydawca

Czasopismo
Rocznik
Tom
5
Numer
4
Strony
19-25
Opis fizyczny
Daty
wydano
2015-12-01
otrzymano
2015-10-11
zaakceptowano
2015-10-20
online
2016-03-05
Twórcy
  • Medical University of Lodz, Department of Diagnoses and Prevention Fetal Malformations, i.j.strzelecka@gmail.com
  • Medical University of Lodz, Department of Embryology and Histology
  • Department of Prenatal Cardiology, Polish Mother's Memorial Hospital Research Institute
  • Institute of Health Sciences. The State School of Higher Professional Education in Plock
  • Medical University of Lodz, Department of Embryology and Histology
  • Department of Intesive Therapy and Newborns' Malformations, Polish Mother's Memorial Hospital, Research Institute
  • Medical University of Lodz, Department of Diagnoses and Prevention Fetal Malformations
  • Department of Prenatal Cardiology, Polish Mother's Memorial Hospital Research Institute
Bibliografia
  • 1. Respondek-Liberska M.: Prenatal cardiology, Czelej, Lublin 2006
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  • 3. Dangel J.:Prenatal diagnoses: myths and reality. Nauka 3/2007, 31-47
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  • 5. Eik-Nes S, Lee W, Carvalho JS, Chaoui R, Copel J, Hecher K, Paladini D. Cardiac creening examination of the fetus: guidelines for performing the ‘basic’ and ‘extended basic’ cardiac scan. ISUOG Guidelines Ultrasound Obstet Gynecol 2006; 27: 107-113
  • 6. Respondek-Liberska M.: Prenatal echocardiography and prenatal cardiology, Mak-Med, Gdańsk 1998
  • 7. Gembruch U. Prenatal diagnosis of congenital heart disease. Prenat Diagn. 1997 Dec;17:1283-98
  • 8. Respondek-Liberska M. Prenatal echocardiography in 1st,2nd and 3rd trimester in singelton pregnancy. Prenatal Cardiology 2012,2,6-11
  • 9. Respondek -Liberska M. Atlas wad serca u płodu. ADI 2011, 32.
  • 10. Wójtowicz A. Detection of fetal heart defects based on screening protocol of prenatal heart examination . Prenat Cardio 2012, 2, 11-16
  • 11. Sharony R, Fejgin MD, Biron-Shental T, Hershko-Klement A, Amiel A, Levi A.: Who should be offered fetal echocardiography? One center‘s experience with 3965 cases. Isr Med Assoc J. 2009, 11, 542-5
  • 12. Sharland G.: Fetal cardiac screening: why bother?. Arch Dis Child Fetal Neonatal Ed. 2010, 95:F64-8
  • 13. Wigton TR, Sabbagha RE, Tamura RK, Cohen L, Minogue JP, Strasburger JF.: Sonographic diagnosis of congenital heart disease: comparison between the four-chamber view and multiple cardiac views. Obstet Gynecol. 1993, 82,219-24
  • 14. Warrier D, Saraf R, Maheshwari S, Suresh P, Shah S.: Awareness of fetal echo in Indian scenario. Ann Pediatr Cardiol. 2012, 5, 156-9[Crossref]
  • 15. Gottliebson WM, Border WL, Franklin CM, Meyer RA, Michelfelder EC.: Accuracy of fetal echocardiography: a cardiac segment-specific analysis. Ultrasound Obstet Gynecol. 2006, 28, 15-21[Crossref]
  • 16. Abu-Rustum RS, Daou L, Abu-Rustum SE.: Role of ultrasonography in early gestation in the diagnosis of congenital heart defects. J Ultrasound Med. 2010, 29, 817-21
  • 17. Plesinac S, Terzic M, Stimec B, Plecas D.: Value of fetal echocardiography in diagnosis of congenital heart disease in a Serbian university hospital. Int J Fertil Womens Med. 2007, 52, 89-92
  • 18. Słodki M, Rychik J, Moszura T, Janiak K, Respondek-Liberska M.: Measurement of the great vessels in the mediastinum could help distinguish true from false-positive coarctation of the aorta in the third trimester. J Ultrasound Med. 2009, 28,1313-7
  • 19. Respondek-Liberska M, Sysa A, Gadzinowski J: Financial comparison of neonatal transportation: in utero, by ambulance and by air transportation. Ginekol. Pol. 2004, 75, 326- 331
  • 20. Chaoi R, Rake A, Heling KS. Aortic arch with four vessels: Aberrant right subclavian artery.Ultrasound Obstet Ginecol. 2008,31,115-117.[Crossref]
  • 21. Allan LD, Crawford DC, Chita SK. Prenatal screening for congenital heart disease. British Medical Journal.1986, 292, 1717-1719.
  • 22. Carvalho JS, Allan LD, Chaoui R, et al; International Society of Ultrasound in Obstetrics and Gynecology. ISUOG Practice Guidelines (updated): sonographic screening examination of the fetal heart. Ultrasound Obstet Gynecol. 2013;41:348-359[Crossref]
  • 23. Kemper AR, Mahle WT, Martin GR, et al. Strategies for implementing screening for critical congenital heart disease. Pediatrics. 2011;128(5). Available at: www.pediatrics.org/cgi/content/full/128/5/e1259[WoS]
  • 24. Rebecca F. Liberman, MPH, Kelly D. Getz, PhD,Angela E. Lin, Cathleen A. Higgins,Sepehr Sekhavat, Glenn R. Markenson and Marlene Anderka. Delayed Diagnosis of Critical Congenital Heart Defects: Trends and Associated Factors Pediatrics 2014;134;e373[WoS]
  • 25. Dawson AL, Cassell CH, Riehle-Colarusso T,et al. Factors associated with late detection of critical congenital heart disease in newborns. Pediatrics. 2013;132(3). Available at: www.pediatrics.org/cgi/content/full/132/3/e604
  • 26. Oster ME, Lee KA, Honein MA, RiehleColarusso T, Shin M, Correa A. Temporal trends in survival among infants with critical congenital heart defects. Pediatrics.2013;131(5). Available at: www.pediatrics.org/cgi/content/full/131/5/e1502
  • 27. L. R. Freud, A. Moon-Grady, M. C. Escobar-Diaz, N. L. Gotteiner, L. T. Young, D. B. McElhinney and W. Tworetzky: Low rate of prenatal diagnosis among neonates with critical aortic stenosis: insight into the natural history in utero
  • 28. Respondek-Liberska M, Sklansky M, Wood D, Słodki M, Weiner S, Cuneo B, Huhta J, Gembruch U, Rizzo G, Sharland G, Achiron R, Pruetz J. Recommendations for fetal echocardiography in singleton pregnancy in 2015. Prenat Cardio 2015, 2, 28-34
  • 29. Chaoui R. Fetal echocardiography: state of the art of the state of the heart. Ultrasound Obstet Gynecol. 2001;17:277-84 [Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pcard-2015-0003
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