Abstract

MAITA QUISPE, Freddy  and  ECHAZU LOPEZ, Gabriel. Fetal echocardiography: Current situation of diagnostics in the Hospital Obrero N° 2, CNS. Gac Med Bol [online]. 2015, vol.38, n.1, pp.14-18. ISSN 1012-2966.

Description: Congenital heart diseases are most frequent fetal malformations, with a worldwide incidence of 6-8 for 1000 born alive and 27 for 1 000 stillborn. It represents one of the main causes of death in the first 30 days of postnatal life. In studies in ultrasound studies of routine in pregnant women routine ultrasound, are structural anomalies which most overlooked. Objectives: to determine the situation of prenatal diagnosis of congenital heart diseases in a sector of the population that is dependent on the Caja Nacional de Salud. Methods: Retrospective observational and descriptive study of longitudinal cut. The population studied was 9030 patients with births attended in the Hospital Obrero N°2 CNS; 1.1% of the patients were assisted in the Centro Médico Quirúrgico Boliviano Belga. The period includes the year 2009-2012. Results: it has detected, 32 fetuses with isolated cardiac pathology or as main anomaly (3.5 per 1 000 live births). Obtained the postnatal confirmation in 94%; in five (15%) patients found other additional heart defects in the neonatal exploration. Conclusions: the antenatal diagnosis of complex congenital heart diseases can modify the postnatal prognosis and it allows to schedule the birth canal adequate preparation to receive the newborn or sending to a specialized center and is fully justified all efforts that improve its detection.

Keywords : prenatal diagnosis; fetal echocardiography.

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