دور صدى القلب الجنيني في تشخيص العيوب القلبية الولادية في اثناء الحياة الرحمية

Background& Objective: Prenatal detection of congenital heart disease is possible from the 16th week of pregnancy. the ideal time being the Midtrimester ,when the most cardiac abnormalities can be detected ,where all routine cross sectional views are easily obtainable. To evaluate the detection and accuracy of fetal echocardiography for congenital heart defects among high risk pregnancies. Materials & Methods: Between march 2007 and march 2011, Three hundred prospevtive fetal echocardiograms were performed during normal pregnancies in Children Hospital and Cardiac Clinic, between the 20th and 38th weeks of gestation. Results: The majority of scans were indicated because of a family history of congenital heart disease (49%) whereas (36%) was referred from the obstetricians with suspicious basic fetal scans.(2%) with fetal arrhythmia, and (1%) for each hydrops and extra cardiac anomaly . congenital heart disease was diagnosed in 15 fetuses (5%) ,was subsequently confirmed by postnatal echocardiography. two complete heart block has been detected ,one without structural abnormality (anti RO-positive mother), elective termination was chosen in five pregnancies, with one intrauterine death. of 294 continuing pregnancies two were died postnatally . Conclusion: Fetal congenital heart disease can be identified par prenatal echocardiography, a multidisciplinary approach is needed to the parental counseling and perinatal management planning