title: Perinatal and Delivery Management of Infants with Congenital Heart Disease.
abstract: Advances in fetal echocardiography have improved prenatal diagnosis of congenital heart disease (CHD) and allowed better delivery and perinatal management. Some newborns with CHD require urgent intervention after delivery. In these cases, delivery close to a pediatric cardiac center may be considered, and the presence of a specialized cardiac team in the delivery room or urgent transport of the infant should be planned in advance. Delivery planning, monitoring in labor, rapid intervention at birth if needed, and avoidance of iatrogenic preterm delivery have the potential to improve outcomes for infants with prenatally diagnosed CHD.
authors.affiliation: Division of Fetal and Transitional Medicine, Children's National Health System, 111 Michigan Avenue, Northwest, Suite M3-118, Washington, DC 20010, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Sanapo
authors.affiliation: Fetal Cardiovascular Program, UCSF Benioff Children's Hospitals, University of California San Francisco, 550 16th Street, 5th Floor, Box 0544, San Francisco, CA 94158, USA.
authors.forename: Anita J
authors.initials: AJ
authors.lastname: Moon-Grady
authors.affiliation: Division of Fetal and Transitional Medicine, Children's National Health System, 111 Michigan Avenue, Northwest, Suite M3-118, Washington, DC 20010, USA; Fetal Heart Program, Division of Cardiology, Children's National Health System, 111 Michigan Avenue, Northwest, Washington, DC 20010, USA. Electronic address: MDonofri@childrensnational.org.
authors.forename: Mary T
authors.initials: MT
authors.lastname: Donofrio
mesh_terms: D002309:Cardiology; D003299:Cooperative Behavior; D036861:Delivery, Obstetric; D019468:Disease Management; D018450:Disease Progression; D004452:Echocardiography; D005260:Female; D005318:Fetal Heart / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D009359:Neonatology; D009774:Obstetrics; D018743:Perinatal Care / Q000379:methods*; D011247:Pregnancy; D016216:Ultrasonography, Prenatal
keywords: Antenatal surveillance; Biophysical profile; Congenital heart disease; Fetal cardiology; Fetal echocardiography; Neurodevelopment; Obstetric management