Sanapo Laura, Moon-Grady Anita J, Donofrio Mary T
Division of Fetal and Transitional Medicine, Children's National Health System, 111 Michigan Avenue, Northwest, Suite M3-118, Washington, DC 20010, USA.
Fetal Cardiovascular Program, UCSF Benioff Children's Hospitals, University of California San Francisco, 550 16th Street, 5th Floor, Box 0544, San Francisco, CA 94158, USA.
Clin Perinatol. 2016 Mar;43(1):55-71. doi: 10.1016/j.clp.2015.11.004.
Advances in fetal echocardiography have improved prenatal diagnosis of congenital heart disease (CHD) and allowed better delivery and perinatal management. Some newborns with CHD require urgent intervention after delivery. In these cases, delivery close to a pediatric cardiac center may be considered, and the presence of a specialized cardiac team in the delivery room or urgent transport of the infant should be planned in advance. Delivery planning, monitoring in labor, rapid intervention at birth if needed, and avoidance of iatrogenic preterm delivery have the potential to improve outcomes for infants with prenatally diagnosed CHD.
胎儿超声心动图的进展改善了先天性心脏病（CHD）的产前诊断，并实现了更好的分娩及围产期管理。一些患有CHD的新生儿在出生后需要紧急干预。在这些情况下，可以考虑在靠近儿科心脏中心的地方分娩，并且应提前规划产房内配备专业心脏团队或对婴儿进行紧急转运。分娩计划、产程监测、必要时在出生时迅速干预以及避免医源性早产，有可能改善产前诊断为CHD的婴儿的预后。
