Evidence map›Paper›PMID 39592932›Full record

ArticleBMC cardiovascular disorders2024

Referral pattern of pregnant mother for fetal echocardiography in Shiraz, South Iran.

Hamid Amoozgar, Paniz Sadeghi, Mohammadreza Edraki, Nima Mehdizadegan, Hamid Mohammadi, Amir Naghshzan

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Article in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Hamid AmoozgarNeonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Paniz SadeghiShiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Mohammadreza EdrakiNeonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Nima MehdizadeganPediatric Department, Cardiovascular Research Center, Namazi Hospital, Shiraz University of Medical Sciences, Zand Street, Shiraz, Fars, Iran. nmehdizadegan@gmail.com.
Hamid MohammadiNeonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Amir NaghshzanNeonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the referral patterns for fetal echocardiography at a tertiary care center in Shiraz, South Iran.

methodThis retrospective cohort study analyzed data from 22,600 pregnant women who underwent fetal echocardiography between January 1, 2016, and December 31, 2021. Information was extracted from a centralized electronic medical record system used by medical centers affiliated with Shiraz University of Medical Sciences.

resultCongenital heart disease was detected in 14.5% of fetal echocardiograms. The mean gestational age at the time of examination was 21.8 ± 4.2 weeks (range: 13-40 weeks). Notably, 75.9% of pregnant women were referred after 19 weeks of gestation. The most common reason for referral was abnormal fetal laboratory screening (triple or quad test).

conclusionIn our center, fetal echocardiography is optimally performed by 19 weeks of gestation. This timing allows for detailed anatomical assessment and aligns with the legal threshold for abortion, ensuring timely counseling and decision-making when necessary. However, in our study, the mean gestational age at the time of echocardiography was 21 weeks, indicating that a significant proportion of patients underwent the procedure later than the optimal timing.

Indexed as

EchocardiographyGestational AgeHeart Defects, CongenitalPredictive Value of TestsReferral and ConsultationUltrasonography, PrenatalAdultFemaleFetal HeartHumansIranPractice Patterns, Physicians'PregnancyRetrospective StudiesTime FactorsYoung AdultEchocardiographyFetusPregnancy

Identifiers

PMID39592932
PMCPMC11590299

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