The treatment of
cardiac conditions often starts with diagnosis before
birth. Our consultant paediatric cardiologists provide fetal
diagnosis for women in Bristol and across the South West. They also
travel to clinics throughout the region to assess paediatric and
adult cases, and can use a high-definition telemedicine system to
consult referring doctors in their local hospitals. The paediatric
cardiologists in Cardiff are an integral part of our team, and
refer patients requiring surgery or catheter intervention to
us.
Mothers whose unborn babies have been diagnosed with urgent
needs are referred to St Michael's Hospital, close to the Bristol
Royal Hospital for Children. Care continues beyond our wards,
through our outreach services and clinics. As some patients require
further treatment later in life, we ensure that we provide a
continuous service from birth to old age.
What is fetal echocardiography?
Fetal echocardiography is a test using sound waves (ultrasound)
to study the structure of your baby's heart before birth. Your
obstetrician may obtain a limited view of your baby's heart during
a routine pregnancy ultrasound. However, a fetal echocardiogram is
a very detailed evaluation of your baby's heart by a specialist in
fetal echocardiography. There are no known risks to the mother or
the fetus
Who needs a detailed fetal echocardiogram?
Some pregnant women are at increased risk of giving birth to a
baby with congenital heart disease (CHD). They should be considered
for referral for a specialized fetal echocardiogram. Indications
include the following:
- a family history of CHD
- an abnormal fetal heart rhythm
- fetal heart abnormalities detected during a routine pregnancy
ultrasound scan
- abnormality of another major organ system
- insulin-dependent (type 1) diabetes mellitus
- exposure to some drugs in early pregnancy, for example, some
anti-epileptic drugs can damage the developing heart
- abnormal amniocentesis
Your doctor will let you know what the results of the
echocardiogram mean, and advise what can be done if a heart defect
is detected. Currently only cardiac rhythm disturbances are being
treated before birth, but in future a number of structural
cardiac defects may be treated before birth.
The
South West and South Wales Congenital Heart Centre
For clinicians
Our referral criteria is available
here.
You can download our e-referral form here.
