This prospective observational study aims to evaluate the agreement between prenatal fetal echocardiographic diagnoses and postnatal diagnoses of congenital heart disease, and to assess the impact of prenatal diagnosis status on neonatal clinical outcomes at Assiut University Hospitals.
Congenital heart disease (CHD) is the most common congenital organ system anomaly. Effective perinatal management requires coordinated care between obstetricians and neonatologists. This prospective observational study will include pregnant women referred for fetal echocardiography due to suspected or confirmed CHD, as well as neonates with prenatally or postnatally confirmed cardiac diagnoses. The study will compare prenatal and postnatal diagnoses, assess neonatal outcomes including mortality and need for emergency intervention, and evaluate communication pathways between obstetric and neonatal teams regarding fetal cardiac findings.
Study Type
OBSERVATIONAL
Enrollment
115
Agreement between prenatal and postnatal CHD diagnosis
Proportion of cases with complete agreement between prenatal fetal echocardiographic diagnosis and postnatal confirmed diagnosis of congenital heart disease.
Time frame: Up to 30 days
Neonatal all-cause mortality
Rate of all-cause neonatal mortality (including operative and in-hospital mortality) according to prenatal diagnosis status.
Time frame: Up to 30 days
Rate of unplanned emergency cardiac intervention
Proportion of neonates requiring unplanned emergency cardiac intervention versus planned elective intervention.
Time frame: Up to 30 days
Duration of NICU stay
Length of stay in the neonatal intensive care unit (days)
Time frame: Up to 30 days
Need for emergency delivery room intervention
Proportion of neonates requiring emergency intubation, PGE1 initiation, or CPR in the delivery room.
Time frame: Baseline
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