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
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
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