Outcomes of Infants with Prenatally Diagnosed Congenital Heart Disease Delivered in a Tertiary-care Pediatric Cardiac Facility.
OBJECTIVE
To report short-term outcomes of infants with prenatally diagnosed Congenital Heart Disease (CHD) delivered in a tertiary-care cardiac facility.


METHODS
Retrospective study.


METHODS
Tertiary-care referral hospital.


METHODS
Children with prenatally diagnosed CHDs who underwent delivery at study centre during the period January 2008 - December 2013 were included. Outcomes tracked from hospital records and direct follow-up.


RESULTS
Of the 552 fetuses diagnosed to have CHD, 121 (22%) were delivered at the study centre. Fetuses undergoing a planned delivery were diagnosed in late gestation (mean gestational age 31.5 ± 5.1 wk). 74 fetuses (61.2%) had simple CHD and rest were complex. 96 (79.3%) neonates received cardiac care; 30 (24.8%) required surgery while 5 received catheter-based interventions. 11 patients underwent surgery on follow-up. Neonatal survival in cardiac care group was 93.8%; on follow-up (12.5 ± 13.1 mo); 83 (86.4%) of these infants were alive. All infants undergoing neonatal surgery or catheter-based interventions survived. 25 patients (20.6%) received comfort care (Complex CHD, associated co-morbidities); 14 (56%) survived neonatal period and 6 (24%) were alive on follow-up.


CONCLUSIONS
Infants with prenatal diagnosis of CHD and planned delivery in a cardiac facility had satisfactory immediate outcomes, expecially in those receiving specialized post-natal cardiac care.
Departments of Pediatric Cardiology and *Obstetrics and Gynecology, Amrita Institute of Medical Sciences and Research Centre, AIMS Ponekkara P.O, Kochi, Kerala, India. Correspondence to: Dr Balu Vaidyanathan, Clinical Professor, Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala 682 041, India. baluvaidyanathan@gmail.com.
Trupti Deepak
TD
Changlani
Annu
A
Jose
Abish
A
Sudhakar
Reshma
R
Rojal
Radhamany
R
Kunjikutty
Balu
B
Vaidyanathan
D002300:Cardiac Care Facilities; D003430:Cross-Sectional Studies; D036861:Delivery, Obstetric / Q000379:methods*; D003906:Developing Countries; D004452:Echocardiography; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*; D006801:Humans; D007194:India; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D017063:Outcome Assessment, Health Care; D010166:Palliative Care; D011247:Pregnancy; D016019:Survival Analysis; D062606:Tertiary Care Centers; D016216:Ultrasonography, Prenatal