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Consensus on the medical model and technical process of multidisciplinary diagnosis and treatment and precision integrated prevention and management of fetal heart disease in maternal-fetal medicine (Part Ⅲ): Perinatal management of heart disease in fetuses from mothers with autoimmune diseases or diabetes

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Author:
No author available
Journal Title:
Chinese Journal of Perinatal Medicine
Issue:
11
DOI:
10.3760/cma.j.cn113903-20220621-00652
Key Word:
心脏病;胎儿疾病;超声心动描记术;超声检查,产前;诊疗准则(主题);母亲;自身免疫疾病;糖尿病,妊娠;围生期医护;Heart diseases;Fetal diseases;Echocardiography;Ultrasonography, prenatal;Practice guidelines as topic;Mothers;Autoimmune diseases;Diabetes, gestationa

Abstract: Maternal autoimmune diseases with pregnancy can lead to fetal atrioventricular block, endocardial fibroelastosis, myocarditis, and atrioventricular valve dysfunction. Gestational hyperglycemia may contribute to some serious fetal cardiovascular malformations and cardiac dysfunction. This consensus focuses on pregnant women with autoimmune diseases or gestational hyperglycemia and put forward expert opinions from the following aspects: the incidence and high-risk population of fetal heart disease, methods and indicators for prenatal examination, prenatal monitoring and follow-up strategies, intrauterine intervention, and perinatal management, aiming to shed a light on the perinatal management of fetal heart disease in this population.

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