{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:56:12Z","timestamp":1791381372810,"version":"4.3.3"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Prenatal detection of congenital heart disease (CHD) remains suboptimal in resource\u2010limited settings. We quantified prenatal CHD detection, fetal echocardiography utilization, and predictors of counseling for fetal echocardiography in future pregnancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We surveyed parents of children with CHD, capturing key sociodemographics, obstetric history, prenatal screening, use of fetal echocardiography, and future counseling. We compared prenatal versus postnatal diagnoses and used multivariable logistic regression to identify counseling predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 362 families, only 48 children (13.3%) were diagnosed prenatally, despite nearly universal obstetric follow\u2010up (99.7%) and moderate prenatal ultrasound screening (59.4%). Prenatal ultrasound screening was more frequent among prenatally diagnosed cases (97.9% vs. 53.5%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Fetal echocardiography was more common when extracardiac malformations were suspected and in moderate\u2010to\u2010complex CHD (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Only 113\/362 (31.2%) of families reported receiving counseling for future pregnancies. In multivariable analysis, greater CHD complexity was independently associated with counseling (OR 3.21;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), whereas family history of CHD was not (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.91).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Prenatal CHD detection was uncommon and driven by screening practices. Counseling regarding fetal echocardiography was inconsistently delivered and concentrated on complex CHD. These findings highlight gaps in referral and counseling, supporting the need for stronger integration between obstetric and pediatric cardiology services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pd.70144","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T02:05:28Z","timestamp":1775786728000},"page":"1047-1053","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prenatal Diagnosis of Congenital Heart Disease in a Developing Country\u2014A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"46","author":[{"given":"Lina","family":"Hammoud","sequence":"first","affiliation":[{"name":"Department of Pediatrics and Adolescent Medicine. American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rana","family":"Zareef","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Pediatrics and Adolescent Medicine American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3965-818X","authenticated-orcid":false,"given":"Jad Abdul","family":"Khalek","sequence":"additional","affiliation":[{"name":"Faculty of Medicine American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsie","family":"Touma","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Adolescent Medicine. American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rola","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Adolescent Medicine. American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6773-8956","authenticated-orcid":false,"given":"Fadi","family":"Bitar","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Pediatrics and Adolescent Medicine American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6895-1580","authenticated-orcid":false,"given":"Mariam","family":"Arabi","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Pediatrics and Adolescent Medicine American University of Beirut Medical Center  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2025.1522644"},{"key":"e_1_2_12_3_1","article-title":"School Performance and Learning Challenges in Children and Adolescents With Congenital Heart Disease","author":"Al\u2010Khalil Z.","year":"2025","journal-title":"Pediatric Cardiology"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/cir.0000000000001211"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.70028"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcdd11080250"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s44294\u2010025\u201000101\u2010y"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.21037\/tp\u201020\u2010164"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2024.09.011"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109378(86)90773\u20108"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/368067"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0735\u20101097(01)01272\u20104"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.187"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2023.04.014"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.24953\/turkjped.2020.04.006"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974\u20102069.99618"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14882"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1017\/s104795112100487x"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsha.2019.04.001"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246\u2010014\u20100996\u20101"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.15589"}],"container-title":["Prenatal Diagnosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pd.70144","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pd.70144","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pd.70144","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:24:10Z","timestamp":1791379450000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/pd.70144"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,9]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/pd.70144"],"URL":"https:\/\/doi.org\/10.1002\/pd.70144","archive":["Portico"],"relation":{},"ISSN":["0197-3851","1097-0223"],"issn-type":[{"value":"0197-3851","type":"print"},{"value":"1097-0223","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,9]]},"assertion":[{"value":"2026-02-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}