CONGENITAL HEART DEFECTS
Abstract
The profile of various CHDs in our study was largely similar to preexisting literature. Although many of the CHDs were detected during infancy, a large number were missed and presented late because of lack of awareness and delayed referral. We found a significant association between incidence of CHD and advanced parental age, bad obstetric history, febrile illness during pregnancy, and a folic acid-deficient diet. There is need to prioritize antenatal care and counseling to pregnant mothers that includes multivitamin and folic acid supplementation, screening for diabetes, and, if possible, provision of detailed fetal cardiac evaluation in mothers with bad obstetric history or those having febrile illness during first trimester. Injudicious use of drugs during antenatal period is to be avoided and proper documentation of any drug intake during pregnancy has to be done to assess possible teratogenic effect.
References
1. Dolk H, Loane M, Garne E for the European Surveillance of Congenital Anomalies (EUROCAT) Working Group. Congenital heart defects in Europe: Prevalence and perinatal mortality, 2000 to 2005. Circulation. 2011;123:841–9. [PubMed] [Google Scholar]
2. Saxena A. Congenital heart disease in India: A status report. Indian J Paediatr. 2005;72:595–8. [PubMed] [Google Scholar]
3. Bhat NK, Dhar M, Kumar R, Patel A, Rawat A, Kalra BP. Prevalence and pattern of congenital heart disease in Uttakhand, India. Indian J Pediatr. 2013;80:281–5. [PubMed] [Google Scholar]
4. Smitha R, Karat SC, Narayanappa D, Krishnamurthy B, Prasanth SN, Ramachandra B, et al. Prevalence of congenital heart diseases in Mysore. Indian J Hum Genet. 2006;12:11–6. [Google Scholar]
5. Kumar RK. Universal heart coverage for children with heart disease in India. Ann Pediatr Cardiol. 2015;8:177–83. [PMC free article] [PubMed] [Google Scholar]
6. Kumar RK, Shrivastava S. Pediatric heart care in India. Heart. 2008;94:984–90. [PubMed] [Google Scholar]
7. Hussain M, Tahura S, Sayeed MA, Rahman MM, Rahman MM, Kar SK. Past and present pattern of congenital heart disease at DSH: A situation analysis. Bangladesh J Child Health. 2010;34:51–5. [Google Scholar]
8. Amro K. Pattern of congenital heart disease in Jordan. Eur J Gen Med. 2009;6:1615. [Google Scholar]
9. Kumar BD, Reddy KR, Elizabeth B. Study of incidence of congenital heart diseases in children of age group 1 month to 12 yrs. J Evol Med Dental Sci. 2015;4:1151–9. [Google Scholar]
10. Khan I, Muhammad A, Muhammad T. Pattern of congenital heart disease. Gomal J of Med Sci. 2011;9:174–7. [Google Scholar]
