Neonatal Screening of Congenital Heart Disease in Premature Unit Dose It Save Life

Abstract

Background: Congenital heart disease in  consider as important cause of mortality and morbidity  in newborn Objectives: To show the impact of  neonatal  Echocardiography screening programmer on   fate mortality morbidity  of  neonate   with CHD .establish relationship between neonatal CHD and certain parameter like  cyanosis murmur gestational age congenital malformation  syndromes, Mode of Delivery.

Materials and methods: The study started between 1-7-2022 till 1-4-2022.Was (519) neonate were  below age 28days  screened for CHD in premature unit of 2 hospital pediatric and maternity hospital. All newborn babies were  examined thorough looking for congenital malformation . syndromes, central and peripheral cyanosis , cardiac murmur. With questioner about gestational age . mode of delivery .All were evaluated by Echocardiography done by specialist doctor.

Results: The results finding the  (58%) were male neonate .(42%) were female neonates(92%)  of neonates age between 1-10days .(5%) between 10-20days ,3% were between 20-30days .Incidence of CHD were( 31% )Incidence of critical cyanotic CHD  7/1000 ( D  TGA ,DORV ,Truncus arteriosus ,Ebstein malformation of TV ).Incidence of a cyanotic CHD almost  (30%).The most common type of A cyanotic CHD PFO 12%, PDA 9% without pulmonary hypertension .3% PDA with  Pulmonary hypertension ,ASD 3.8% , 89% were full term . 60% were delivered by caesarian section.(2%)were having Down syndrome. Klippel fiel syndrome. Anencephaly , hydrocephaly (27%) of neonate with syndrome having CHD (28%) Of  non syndromic neonate have CHD.

Conclusion: The study concluded that the  Echocardiography  is cornerstone   for  quick accurate diagnosis of CHD  It can save neonates  life .