REVISTA DE EDUCATIE MEDICALA CONTINUA DEDICATA GINECOLOGILOR,
OBSTETRICENILOR, MOASELOR SI ASISTENTILOR MEDICALI DIN ROMANIA

<- Home <- Arhive <- Anul 10, Nr. 37, September 2022



RevistaGinecologia10(37)45-48(2022)
© VERSA PULS MEDIA, S.R.L.


The neonatal characteristics of congenital heart defects – our experience

D.M. Manea (Lascoschi), R.M. Sima, L. Pleş, A.D. Stănescu


Rezumat: Introduction. Congenital heart defects (CHD) represent the most frequent birth defect, occurring in 1% to 5% of all live births. The purpose of our study was to reveal the neonatal characteristics of neonates with CHD from our department. Materials and method. We performed a prospective study between June 2016 and August 2021 that included newborns from the “Bucur” Maternity, Bucharest, who were diagnosed with cardiac defects. The study included 144 newborns with malformations and 70 neonates (48.6%) with CHD. The malformations were divided into minor malformations, mild cardiac malformations and major cardiac defects. Results. Minor cardiac malformations were found in 15.28% (22 cases) of the newborns with malformations, and the gender distribution was 12 boys and nine girls, respectively one child with ambiguous gender/hermaphrodite. We observed that 54.55% of them were born at term (12 children), 27.27% were late preterm (three cases), 4.55% were moderate preterm (one case) and 13.64% were extremely preterm (three cases). Within the group of newborns with malformations, the proportion of mild malformations was 17.36%, being represented by 25 newborns. Major cardiac defects were found in 15.97% (23 cases) of the newborns with malformations and the gender distribution was 11 boys (47.83%) and 12 girls (52.17%). Significantly lower Apgar scores (at 1 minute) were observed in neonates with major cardiac malformations compared with neonates with other types of malformations (U=815,000.5, Z=-2293, p=0.022). Conclusions. The variety of CHD in our clinic was from minor to severe. The environmental factors correlated with the type of CHD. The congenital heart defects were more frequent in adolescent mothers and in pregnancies with no prenatal care. The neonatal characteristics are related to the gestational age at birth and with the severity of congenital heart defects.
Cuvinte cheie: congenital heart defects, preterm, newborn, neonates.

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