Fetal Ekokardiyografi Yapılan Hastalarımızın Analizi: Endikasyonlar, Risk Grupları ve Postnatal Tanı.

Background: When fetal echocardiographic examination is performed by experienced people, the postnatal accuracy rate is highand has a positive effect on mortality and morbidity in newborns. In our study, we aimed to analyze the prenatal data and postnatal outcomes of the patients who underwent fetal echocardiography. Materials and Methods: The study was conducted with patients who underwent fetal echocardiography in our clinic between August 2020 and December 2021. The patients were grouped as high-risk and low-risk patients according to fetal echocardiography indications, and intergroup analysis was performed. Results: The study was conducted with a total of 365 patients. The mean age of the patients was 30.81±5.9 years, and the gestational week was calculated as 24.97±4.28 weeks. Patients, 14 (3.8%) were multiple pregnancies, 131 (35.9%) were primiparous. When compared with the p renatal d iagnoses o f t he patients whose postnatal echocardiography results could be reached, the prenatal diagnosis accuracy rate was found to be 95.6%. As The most common fetal echocardiography indication was suspicion of heart disease in fetal ultrasonography. Congenital heart disease was detected in fetal echocardiography i n 8 4 (23%) of the patients, the most common anomaly was ventricular septal defect. While 230 (63%) of the patients were in the high-risk group according to fetal echocardiography indication, 135 (37%) were in the low-risk group. In the analysis, a significant increase was found in high-risk patients compared to low-risk patients, especially in terms of important cardiac pathologies (p<0.001). Conclusions: Fetal echocardiography is highly diagnostic when performed by experienced people. It was concluded that fetal echocardiographic examination should be routinely performed in high-risk patients for fetal heart disease, and fetal echocardiography should be performed in low-risk patients if fetal ultrasonography is suspicious. [ABSTRACT FROM AUTHOR]