Congenital heart diseases are among the most common congenital anomalies. Eight out of every 1000 babies have heart disease. Many of these diseases are treated early after the birth of the baby. Some heart diseases are treated with an operation performed in the womb.
Every year 12,000 babies with congenital heart disease are born. The figures are really high. However, nowadays, even the most severe congenital heart diseases can be successfully treated with interventional cardiologic methods and surgeries. Factors such as consanguineous marriage, infections in the early stages of pregnancy, radiation, chromosomal abnormalities, maternal diabetes, and misuse of drugs and alcohol during pregnancy are effective in the development of congenital heart disease. Acıbadem Bakırköy Hospital Gynecology and Obstetrics Specialist Assoc. Dr. View Özlem's Full Profile “One of the most important risk factors is congenital heart disease in siblings, mothers and fathers,: he says. Olasılığı In cases of congenital heart disease in siblings, there is a 2% chance of developing the disease in the infant; 3 and 6%. Therefore, patients with congenital heart disease and risky pregnant candidates should have prenatal counseling before birth. The nuchal translucency test, which has been used to evaluate the risk of Down syndrome in pregnant women in recent years, is very important not only in detecting chromosomal abnormalities and premature birth defects but also in assessing the risk of congenital heart diseases. ”
The incidence of congenital heart disease may increase up to 6%, especially in fetuses with increased nuchal translucency. Acıbadem Health Group Pediatric Cardiology Specialist Assoc. Dr. Contact Arda directly underlining an important risk: olduğunda When there is a significant fetus disorder in routine examinations; The incidence of heart disease is increasing. Since nuchal translucency is a precursor of chromosomal abnormalities, risk is learned routinely today. The risk of heart disease increases even if chromosomal abnormalities are not detected as the thickness increases above a certain number. ”
Fetal echardiography should be performed for every pregnant woman!
5-8 out of every 1000 babies are born with heart diseases. Congenital heart disease is the cause of 3 percent of babies lost at birth and 15 percent of babies lost during neonatal period. 90% of congenital heart diseases occur for unknown reasons. Assoc. Dr. Saygılı says, kalp As a result of the interruption of the normal development process of the heart as a result of the interaction of genetic factors with external factors, heart diseases develop. Le For this reason, some physicians suggest that all fetuses, even pregnancies that do not carry risk factors, should be examined fetal cardiologically. However, since it is not possible to do this technically and practically, the possibility of heart disease should be investigated by fetal echocardiography if any of these risk factors exists. ”Assoc. Dr. Özlem Pata “Pregnant women who do not have risk factors should have detailed ultrasonography which is routinely performed at 19-23 weeks. Cardiac examination should be taken into consideration in the ultrasonography performed during this period and should not be hesitated to ask a pediatric cardiologist for consultation in the least suspected cases. ”
With fetal echocardiography, the structure of the unborn baby's heart is examined using sound waves as in ultrasonography. With this examination, it is possible to see whether the cavities of the heart, atria and ventricles, large vessels and valves develop in normal dimensions and whether they are related to each other correctly. Besides the anatomical structure of the heart, this device recognizes the functions of the heart and the possibility of seeing the heart beats. Assoc. Dr. Say The functions of the heart, whether the naturally-occurring openings between the atria and the major vessels, the movements of the valves, the beats of the heart are normal, whether the blood is facing any problems when circulating in the heart, stenosis, incompetence, abnormal openings, ilgili allows us to learn in detail. In the meantime, the blood flow in the heart and vessels is measured by using sound waves using the Doppler technique. Nowadays, it is also possible to get more detailed information about heart structure with four-dimensional echocardiography. In the light of all this data, it is possible to say 90% of your baby's heart is normal. ”
Fetal Cardiography Does Not Harm The Baby
Fetal echocardiography is generally performed in 16-24 weeks. Families are worried that this device will harm the baby. Echocardiography does not harm the mother or fetus. A short-term examination of approximately 20-45 minutes is carried out by a pediatric cardiologist who specializes in fetal echocardiography.
Abdominal Treatment Can Be Performed
One of the major advantages of the diagnosis of congenital heart diseases in the womb is that it allows emergency intervention after birth. Thus, with the help of advanced technological support, the chance of survival of babies who require medical treatment increases. Acıbadem Kadıköy Hospital Obstetrics and Gynecology Specialist High Risk Pregnancy Unit Responsible Assoc. Dr. Arda Lembet, “Prior to this stage, the high risk pregnancy specialist, pediatric cardiologist, newborn specialist, pediatric cardiac surgeon and medical geneticist will reach all detailed decision-making stages for the family, baby and the whole family. On the other hand, the family is offered the option to terminate the pregnancy in cases where it is detected in the womb and it is not possible to treat it postnatally and surgically. ”
However, it is possible to treat some heart diseases not only after birth but also in the womb. Nowadays, the most important group of fetal heart diseases that can be treated in the womb is rhythm disorders. In patients who do not have a structural disorder in the heart and only serious rhythm disorders, heart failure in the fetus can be prevented by drugs that will be given to the unborn baby either directly or via the mother, and even possible losses in the womb can be prevented. Assoc. Dr. Temel The basic condition for interventional procedures in the womb is as much as the correct diagnosis and the right indication. Say “With multidisciplinary approach, it is possible to intervene in the stenosis of the heart valves by interventional method or surgery. Interventional procedure is performed by anesthetizing the mother and the infant by inserting the needle directly into the fetal heart cavity and then opening the stenosis by inflating the very small diameter balloon catheter in the narrowed area. Successful results have been reported in safe hands. These are highly risky processes that require experienced, specialized multidisciplinary teams. ”