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      The Role of Perinatal Cardiology in Saving the Life and Its Quality of Fetuses, Newborns and Children (on the Basis of Own Experience and Review of The Literature) Translated title: Rola kardiologii perinatalnej w ratowaniu życia i jego jakości u płodów, noworodków i dzieci (na podstawie doświadczeń własnych i przeglądu literatury)

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          Abstract

          The role of prenatal cardiology and the organization of perinatal cardiological centers in early diagnostics and early therapeutic procedures in fetuses and newborns with cardiac malformations and circulatory disturbances was discussed on the basis of the literature and own experience. The possibilities of an early perinatal diagnosis and early therapeutic approaches to cardiac defects were presented. It was stressed that there is a necessity to broaden the educational aims in these areas and in the near future to prepare multidisciplinary teams working together in specialist centers.

          Streszczenie

          Na podstawie doświadczeń własnych oraz danych z piśmiennictwa przedstawiono rolę kardiologii prenatalnej i jej znaczenie w ośrodkach referencyjnych dla wczesnej diagnostyki i zabiegów terapeutycznych u płodów i noworodków z wadami wrodzonymi serca oraz anomaliami w zakresie układu krążenia. Przedstawiono podstawy i możliwości wczesnej diagnostyki kardiologicznej i zasad prowadzenia terapii. Podkreślono również konieczność poszerzenia procesu edukacji w celu przygotowania w niedalekiej przyszłości medycznych zespołów interdyscyplinarnych do pracy w płodowo/perinatalnych centrach szpitalnych.

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          Most cited references18

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          Variation in Prenatal Diagnosis of Congenital Heart Disease in Infants.

          Prenatal diagnosis allows improved perioperative outcomes for fetuses with certain forms of congenital heart disease (CHD). Variability in prenatal diagnosis has been demonstrated in other countries, leading to efforts to improve fetal imaging protocols and access to care, but has not been examined across the United States. The objective was to evaluate national variation in prenatal detection across geographic region and defect type in neonates and infants with CHD undergoing heart surgery.
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            Screening for fetal aneuploidies at 11 to 13 weeks.

            Effective screening for major aneuploidies can be provided in the first trimester of pregnancy. Screening by a combination of fetal nuchal translucency and maternal serum free-β-human chorionic gonadotrophin and pregnancy-associated plasma protein-A can identify about 90% of fetuses with trisomy 21 and other major aneuploidies for a false-positive rate of 5%. Improvement in the performance of first-trimester screening can be achieved by firstly, inclusion in the ultrasound examination assessment of the nasal bone and flow in the ductus venosus, hepatic artery and across the tricuspid valve, and secondly, carrying out the biochemical test at 9 to 10 weeks and the ultrasound scan at 12 weeks. Copyright © 2011 John Wiley & Sons, Ltd.
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              Birth prevalence of congenital heart defects in Norway 1994-2009—A nationwide study

              The reasons for decreasing birth prevalence of congenital heart defects (CHDs) in several European countries and Canada are not fully understood. We present CHD prevalence among live births, stillbirths, and terminated pregnancies in an entire nation over a period of 16 years.
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                Author and article information

                Journal
                Dev Period Med
                Dev Period Med
                jmotherandchild
                jmotherandchild
                Developmental Period Medicine
                Sciendo
                1428-345X
                2354-0060
                September 2018
                04 October 2018
                : 22
                : 3
                : 270-279
                Affiliations
                [1 ]Department for Prenatal Diagnoses and Prevention, Medical University of Lodz , Lodz, Poland
                [2 ]Department of Prenatal Cardiology, Polish Mother’s Memorial Hospital, Research Institute , Lodz, Poland
                Author notes
                [* ] Maria Respondek-Liberska Kierownik Zakładu Diagnostyki i Profilaktyki Wad Wrodzonych Uniwersytetu Medycznego w Łodzi Kierownik Zakładu Kardiologii Prenatalnej Instytut Centrum Zdrowia Matki Polki w Łodzi tel. 602-45-19-09 majkares@ 123456uni.lodz.pl
                Article
                devperiodmed.20182203.270279
                10.34763/devperiodmed.20182203.270279
                8522888
                30281524
                75e5a119-002d-4e8f-84ea-10623b5030cb
                © 2018 Maria Respondek-Liberska, published by Sciendo

                This work is licensed under the Creative Commons Attribution 4.0 International License.

                History
                : 19 December 2017
                : 23 May 2018
                Page count
                Pages: 10
                Categories
                Review Article/Praca Poglądowa

                prenatal echocardiography,congenital heart defects,congestive fetal heart failure,fetal therapy,delivery,prenatalna echokardiografia,wada serca,niewydolność krążenia,terapia,poród

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