{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T13:49:59Z","timestamp":1776952199957,"version":"3.51.4"},"reference-count":18,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2012,9,23]]},"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To determine the outcome of neonates with a suspected antenatal diagnosis of congenital heart disease (CHD) who were delivered away from a paediatric cardiothoracic centre and were initially managed in a level 3 Neonatal Intensive Care Unit.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>An 18-year ongoing study conducted in a single institution.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Between 1992 and 2009, 143 fetuses with suspected CHD were identified, and 124 babies were delivered locally. 13 babies with a normal postnatal echocardiogram and six with isolated arrhythmias were excluded from the study. Structural CHD was confirmed in 105 infants; of these, 94 (90%) survived the neonatal period. Of the 11 neonatal deaths, only four of these infants underwent surgery; most had additional risk factors including: prematurity, very low birth weight, and genetic and other structural congenital anomalies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study demonstrates that appropriately selected infants with antenatally diagnosed CHD can be safely delivered and initially managed in a non-cardiac centre during their neonatal period. Deliveries need to be carefully planned with close collaboration among neonatologists, obstetricians, paediatric cardiologists, mid-wives and parents.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/archdischild-2011-300488","type":"journal-article","created":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T21:53:39Z","timestamp":1353534819000},"page":"F218-F221","source":"Crossref","is-referenced-by-count":29,"title":["Outcome of infants with prenatally diagnosed congenital heart disease delivered outside specialist paediatric cardiac centres"],"prefix":"10.1136","volume":"98","author":[{"given":"Katherine","family":"Anagnostou","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit, Cambridge University Hospital NHS Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Messenger","sequence":"additional","affiliation":[{"name":"Department of Obstetric Ultrasound, Cambridge University Hospital NHS Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Yates","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiology, Great Ormond Street Hospital for Sick Children, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilf","family":"Kelsall","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Cambridge University Hospital NHS Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,11,21]]},"reference":[{"key":"2025090509554276000_98.3.F218.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)01886-7"},{"key":"2025090509554276000_98.3.F218.2","doi-asserted-by":"publisher","DOI":"10.1136\/adc.71.1.3"},{"key":"2025090509554276000_98.3.F218.3","doi-asserted-by":"crossref","unstructured":"Fermont L De Geeter B Aubry MC . A close collaboration between obstetrician and cardiologists allows antenatal detection of severe cardiac malformations by 2D echocardiography (abstract). Proceedings of the Second World Congress of Paediatric Cardiology. New York, 1986:10.","DOI":"10.1007\/978-1-4613-8598-1_8"},{"key":"2025090509554276000_98.3.F218.4","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/j.1471-0528.1992.tb14503.x","article-title":"Screening for congenital heart disease prenatally. Results of a 21\/2-year study in the South East Thames Region","volume":"99","author":"Sharland","year":"1992","journal-title":"Br J Obstet Gynaecol"},{"key":"2025090509554276000_98.3.F218.5","unstructured":"Children's Heart Federation. Children's Heart Services\u2014a guide to care standards. http:\/\/www.childrens-heart-fed.org.uk (accessed 13 November 2012)."},{"key":"2025090509554276000_98.3.F218.6","doi-asserted-by":"publisher","DOI":"10.1053\/siny.2000.0028"},{"key":"2025090509554276000_98.3.F218.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)01167-8"},{"key":"2025090509554276000_98.3.F218.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.cupe.2003.10.001"},{"key":"2025090509554276000_98.3.F218.9","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-002-1330-x"},{"key":"2025090509554276000_98.3.F218.10","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1136\/hrt.82.5.594","article-title":". Evolution and long term outcome in cases with fetal diagnosis of congenital heart disease: Italian multicentre study. Fetal Cardiology Study Group of the Italian Society of Pediatric Cardiology.","volume":"82","author":"Fesslova","year":"1999","journal-title":"Heart"},{"key":"2025090509554276000_98.3.F218.11","doi-asserted-by":"publisher","DOI":"10.1080\/140174302753675339"},{"key":"2025090509554276000_98.3.F218.12","doi-asserted-by":"publisher","DOI":"10.1053\/siny.2000.0032"},{"key":"2025090509554276000_98.3.F218.13","doi-asserted-by":"publisher","DOI":"10.1080\/080352500300002552"},{"key":"2025090509554276000_98.3.F218.14","doi-asserted-by":"publisher","DOI":"10.1136\/fn.77.1.F41"},{"key":"2025090509554276000_98.3.F218.15","unstructured":"Fetal Cardiology Standards, British Congenital Cardiac Association (BCCA), Fetal Standards Working Group. 2010."},{"key":"2025090509554276000_98.3.F218.16","first-page":"F64","article-title":"Fetal cardiac screening: why bother?","volume":"95","author":"Sharland","year":"2010","journal-title":"Arch Dis Child"},{"key":"2025090509554276000_98.3.F218.17","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.99.7.916"},{"key":"2025090509554276000_98.3.F218.18","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951105000880"}],"container-title":["Archives of Disease in Childhood - Fetal and Neonatal Edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/archdischild-2011-300488","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T16:56:36Z","timestamp":1757091396000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/archdischild-2011-300488"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11,21]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2013,4,10]]},"published-print":{"date-parts":[[2013,5]]}},"alternative-id":["10.1136\/archdischild-2011-300488"],"URL":"https:\/\/doi.org\/10.1136\/archdischild-2011-300488","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"value":"1359-2998","type":"print"},{"value":"1468-2052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11,21]]}}}