Author(s): Eggeb TM, Heien C, Berget M, Ellingsen CL
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Abstract Objectives. To investigate the detection rate of major fetal heart defects in a low-risk population implementing routine use of color Doppler. Material and Methods. In a prospective observational study, all women undergoing fetal heart scanning (including 6781 routine examinations in the second trimester) during a three-year period were included. First a gray-scale scanning was performed including assessment of the four-chamber view and the great vessels. Thereafter three cross-sectional planes through the fetal thorax were assessed with color Doppler. Results. Thirty-nine fetuses had major heart defects, and 26 (67\%) were prenatally detected. In 9/26 (35\%) of cases the main ultrasound finding was related to the use of color Doppler. The survival rate of live born children was 91\%. Conclusions. Routine use of color Doppler in fetal heart scanning in a low-risk population may be helpful in the detection of major heart defects; however, still severe malformations were missed prenatally.
This article was published in ISRN Obstet Gynecol
and referenced in Journal of Neonatal Biology