Recommendations for Fetal Echocardiography in Twin Pregnancy in 2016

Author:

Leszczyńska Katarzyna1,Preis Krzysztof1,Respondek-Liberska Maria23,Słodki Maciej34,Wood Dennis5,Weiner Stuart6,Gembruch Ulli7,Rizzo Giusseppe8,Achiron Reuven9,Pruetz Jay D10,Sklansky Mark11,Cuneo Bettina12,Arabin Birgit13,Blickstein Isaac14

Affiliation:

1. 1. Department of Obstetrics, Medical University of Gdansk, Poland

2. 2. Department of Diagnoses and Prevention Fetal Malformations, Medical University of Lodz, Poland

3. 3. Department of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute, Lodz, Poland

4. 4. Institute of Health Sciences, The State School of Higher Professional Education in Płock, Poland

5. 5. Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, Pennsylvania, United States of America

6. 6. Thomas Jefferson University and Hospitals, Philadelphia, Pennsylvania, United States of America

7. 7. Department of Obstetrics and Prenatal Medicine, University Bonn Medical School, Bonn, Germany

8. 8. Department of Obstetrics and Gynecology, Università Roma Tor Vergata, Ospedela Fatebenefratelli Isola Tiberina, Rome, Italy

9. 9. Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center Tel-Hashomer, Sackler School of Medicine, Tel-Aviv University, Israel

10. 10. Division of Pediatric Cardiology, Children’s Hospital Los Angeles, Los Angeles, CA, United States of America ; Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America

11. 11. Division of Pediatric Cardiology, Department of Pediatrics, David Geffen School of Medicine, Los Angeles, California, United States of America

12. 12. Department of Pediatric Cardiology, Then Fetal Heart Program, Colorado Fetal Care Center, Colorado Institute for Maternal Fetal Health, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, United States of America

13. 13. Center for Mother and Child, Philipps University, Marburg, Germany

14. 14. Department of Obstetrics and Gynecology, Kaplan Medical Center, 76100 Rehovot and the Hadassah-Hebrew University School of Medicine, Jerusalem, Israel .

Abstract

Abstract Progress in the fields of fetal cardiology and fetal surgery have been seen not only in singleton pregnancies but also in multiple pregnancies. Proper interpretation of prenatal echocardiography is critical to clinical decision making, family counseling and perinatal management for obstetricians, maternal fetal medicine specialists, neonatologists and pediatric cardiologists. Fetal echocardiography is one of the most challenging and time-consuming prenatal examinations to perform, especially in multiple gestations. Performing just the basic fetal exam in twin gestations may take an hour or more. Thus, it is not practical to perform this exam in all cases of multiple gestations. Therefore our review and recommendations are related to fetal echocardiography in twin gestation.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

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