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CHD often occurs in low\u2010risk pregnant patients, which underscores the importance of routine fetal cardiac screening at the time of the 2nd trimester ultrasound. Prenatal diagnosis of CHD is important for counseling and decision\u2010making, focused diagnostic testing, and optimal perinatal and delivery management. As a result, prenatal diagnosis has led to improved neonatal and infant outcomes. Updated fetal cardiac screening guidelines, coupled with technological advancements and educational efforts, have resulted in increased prenatal detection of CHD in both low\u2010 and high\u2010risk populations. However, room for improvement remains. In recent years, fetal cardiac screening for specific high\u2010risk populations has started in the 1st trimester, which is a trend that is likely to expand over time. This review discusses fetal cardiac screening throughout pregnancy.<\/jats:p>","DOI":"10.1002\/pd.6571","type":"journal-article","created":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T01:29:25Z","timestamp":1712971765000},"page":"679-687","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Fetal cardiac screening: 1st trimester and beyond"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1221-081X","authenticated-orcid":false,"given":"Lindsay R.","family":"Freud","sequence":"first","affiliation":[{"name":"Paediatrics, Fetal Cardiology The Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn L.","family":"Simpson","sequence":"additional","affiliation":[{"name":"Hillary Rodham Clinton Professor of Women's Health Department of Obstetrics &amp; Gynecology Columbia University Irving Medical 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