Recommendations “Cardio-Prenatal 2017” From Poland

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On 27.10.2017, in the course of the CARDIO-PRENATAL Conference at the Polish Mother’s Memorial Institute and Health Centre in Lodz, we presented, among others, the following problems:

classification of prenatal heart defects, fetal hemodynamic status evaluation in the third trimester, expected neonate’s clinical condition, planned procedures to be conducted just after birth and also planned medical staff to be present in the delivery room. Here are our main recommendations following the meeting and discussion.

1. Zhang Y, Riehle-Colarusso T, Correa A, Li S, Feng X, Gindler J, Lin H, Webb C, Li W, Trines J, Berry RJ, Yeung L, Luo Y, Jiang M, Chen H, Sun X, Li Z Observed prevalence of congenital heart defects from a surveillance study in China. J Ultrasound Med. 2011 Jul;30(7):989-95.

2. Leirgul E, Fomina T, Brodwall K, Greve G, Holmstrøm H, Vollset SE, Tell GS, Øyen N. Birth prevalence of congenital heart defects in Norway 1994-2009--a nationwide study. Am Heart J. 2014 Dec;168(6):956-64.

3. Huhta JC. First-trimester screening for congenital heart disease. Curr Opin Cardiol. 2016 Jan;31(1):72-7.

4. Respondek-Liberska M, Dangel J, Włoch A.: Certyficate for Basic Fetal Heart Evaluation Section of Echocardiography and Prenatal Cardiology Polish Ultrasound, Ultrasonografia 2006, 25:82-86

5. Respondek-Liberska M, Dangel J, Włoch A.: Certificate for Echocardiography Fetal Heart Exam (advanced level). Section of Echocardiography and Prenatal Cardiology Polish Ultrasound. Ultrasonografia 2006,25:87-90

6. Respondek-Liberska M, Szymkiewicz-Dangel J, Tobota Z, Słodki M. The goal and preliminary conclusions from the Polish National Registry for Fetal Cardiac Pathology ( Pol. Przegl. Kardiol., 2008, 10, 2, 129-135

7. Sklansky M.S. Current guidelines for fetal echocardiography: time to raise the bar. J Ultrasound Med. 2011; 30: 284-286.

8. Lee W., Allan L., Carvalho JS., [et al]. ISUOG consensus statement: what constitutes a fetal echocardiogram? Ultrasound Obstet Gynecol 2008; 32: 239-242.

9. Slodki M, Respondek-Liberska M.: Proposal of screening fetal heart examination form granted by Polish Ministry of Health Program Kardio-Prenatal 2008. Ginekol Pol. 2009,80:466-470

10. Respondek-Liberska M., Janiak K. Fetal echocardiography protocol for reference centers. Polski Przegląd Kardiologiczny. 2010; 12: 212-218.

11. Wood D, Respondek-Liberska M, Puerto B, Weiner S. Perinatal echocardiography: protocols for evaluating the fetal and neonatal heart. J. Perinat. Med. 2009; 37: 5-11

12. Murlewska, J, Słodki, M, Axt-Fliender, R, Giusseppe Rizzo, Mark Sklansky, Stuart Weiner, Isaac Blickstein, Maria Respondek-Liberska. Recommendations for Prenatal Echocardiography: A Report from International Prenatal Cardiology Collaboration Group. Prenatal Cardiology 2018; 7: 58-63.

13. Respondek-Liberska, M., Sklansky, M., Wood, D., et al. Recommendations for Fetal Echocardiography in Singleton Pregnancy in 2015. Prenat Cardio. 2015; 5: 28-34.

14. Strzelecka, I., Płużańska, J., Węgrzynowski, J., et al. Routine third trimester fetal cardiac evaluation: time for consideration. Prenat Cardio. 2015; 5: 18-23.

15. Respondek-Liberska M. Atlas wad serca płodu. Łódź. Wyd. ADI 2011

16. Słodki M. Habilitation Thesis. Medical University Lodz, PWSZ Plock: Poland,2012,

17. Słodki M., Respondek-Liberska M. Pruetz JD, Donofrio MT. Fetal cardiology: changing the definition of critical heart disease in the newborn. Journal of Perinatology. 2016: 1-6.

18. Słodki M., Respondek-Liberska M. New classifications of prenatally diagnosed congenital heart defects and their influence on neonatal survivability. Prenat Cardio. 2015; 5: 6-8

19. Donofrio MT, Levy RJ, Schuette JJ, [et al.]. Specialized delivery room planning for fetuses with critical congenital heart disease. Am J Cardiol 2013; 111(5): 737-747.

20. Słodki, M, Respondek-Liberska M. Hypoplastic Left Heart Syndrome at the Tertiary Fetal Cardiac Center: As Planned, Urgent or Severest Congenital Heart Disease? Prenatal Classification for Obstetricians and Neonatologists. Prenatal Cardiology 2016, Jan 3(4); 2016; 3: 23-27

21. Rychik J, Montenegro L, Nicolson S, Rome J, Gaynor JW, Spray T, Donaghue D, Combs J, Miesnik S, M, Mann S, Bebbington M, Wilson RD, Johnson M. 610: Immediate postpartum access to cardiac therapy: The impact procedure - a strategy for management of the fetus with severe cardiovascular disease. American Journal of Obstetrics & Gynecology 2008: 199; 6, 176

22. Strzelecka I, Słodki M, Zych-Krekora K, Krekora M, Grzesiak M, Maroszyńska I, Respondek-Liberska M. Retrospective analysis of preterm neonates with congenital heart defects delivered by cesarean section: unfavourable outcomes a necessity for fetal cardiology education during obstetrical training? Prenat Cardio 2017 Jan; 7(1):50-5

23. Kordjalik P, Tobota Z, Respondek-Liberska M. Selected data from the Polish National Prenatal Cardiac Pathology Registry from the year 2016. Prenat Cardio 2017 Jan; 7(1):7-1

24. Respondek-Liberska M. Fetal thymus- review. Prenat Cardio. 2014; 4

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