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August 18, 2023
Fetal Cardiac Screening:
Why bother?
1
2
Outline of the talk…
• Where have we come from?
• Impact of fetal cardiac screening
• Health outcome prospective
• Parent’s prospective
• What can we do now?
• Where are we heading?
• THIS BOOK IS DEDICATED TO ALL THOSE PEOPLE THROUGHOUT MY
LIFE WHO HAVE INSPIRED ME BY TELLING ME THAT MY PROPOSED
NEXT STEP WAS IMPOSSIBLE
4
5
6
Impact of fetal cardiac screening
Health outcome prospective…
• How, when, where?-Planning for delivery
• Life saver- Treatment during pregnancy
• High cost & high risk: Avoiding transport after delivery
• Is it cardiac or not?? Avoiding unnecessary transfers, imaging and prenatal
stress with an uncertain diagnosis in a baby
• Negative is negative: Accurate screening provides reassurance that everything
is fine
What can we do now?
8
9
10
Does it change the outcome?
13
14
Impact of prenatal diagnosis on parents
15
16
17
Financial aspect
18
19
How are we performing?
20
21
22
Parting words….
Fetal cardiac screening:
• Allows for parental decision and preparation
• Has a huge impact for conditions with:
• High risk pre-operative mortality: TGA, COA
• Risk of intrauterine fetal death: SVT, Heart blocks
• Opportunity to intervene in utero: Arrhythmias, Outflow valve obstructions
THANK YOU
MURTAZA.VMMC@GMAIL.COM; +91-9971259799
24

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FETAL CARDIAC SCREENING

  • 1. August 18, 2023 Fetal Cardiac Screening: Why bother? 1
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  • 3. Outline of the talk… • Where have we come from? • Impact of fetal cardiac screening • Health outcome prospective • Parent’s prospective • What can we do now? • Where are we heading?
  • 4. • THIS BOOK IS DEDICATED TO ALL THOSE PEOPLE THROUGHOUT MY LIFE WHO HAVE INSPIRED ME BY TELLING ME THAT MY PROPOSED NEXT STEP WAS IMPOSSIBLE 4
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  • 7. Impact of fetal cardiac screening Health outcome prospective… • How, when, where?-Planning for delivery • Life saver- Treatment during pregnancy • High cost & high risk: Avoiding transport after delivery • Is it cardiac or not?? Avoiding unnecessary transfers, imaging and prenatal stress with an uncertain diagnosis in a baby • Negative is negative: Accurate screening provides reassurance that everything is fine
  • 8. What can we do now? 8
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  • 12. Does it change the outcome?
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  • 15. Impact of prenatal diagnosis on parents 15
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  • 20. How are we performing? 20
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  • 23. Parting words…. Fetal cardiac screening: • Allows for parental decision and preparation • Has a huge impact for conditions with: • High risk pre-operative mortality: TGA, COA • Risk of intrauterine fetal death: SVT, Heart blocks • Opportunity to intervene in utero: Arrhythmias, Outflow valve obstructions