September 2024. Volume 20. Number 3

Prenatal diagnosis of transposition of the great arteries is associated with poorer early postoperative outcomes

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Namachivayam SP, Butt W, Brizard C, Millar J, Thompson J, Walker SP, et al. Potential benefits of prenatal diagnosis of TGA in Australia may be outweighed by the adverse effects of earlier delivery: likely causation and potential solutions. Arch Dis Child. 2023;109:16-22.

Reviewers: Blanco Rodríguez C1, Cuestas Montañés EJ2.
1Pediatra. CS Sanchinarro. Madrid. España.
2Servicio de Pediatría y Neonatología. Hospital Privado Universitario de Córdoba. Córdoba. Argentina.
Correspondence: Carolina Blanco Rodríguez. Email: c_blanco50@hotmail.com
Reception date: 28/06/2024
Acceptance date: 05/07/2024
Publication date: 10/07/2024

Abstract

Authors´ conclusions: among newborns undergoing arterial switch for transposition of great arteries (TGA), prenatal diagnosis is associated with poorer early postoperative outcomes. In addition to minimizing iatrogenic factors (such as planned births) resulting in earlier births, evaluation of other dynamics following a prenatal diagnosis which may result in poor fetal growth and earlier onset of spontaneous labor is important.

Reviewers´ commentary: prenatal diagnosis of TGA is associated with a higher prevalence of earlier births (both induced and spontaneous), as well as smaller-for-gestational-age neonates, both factors having a negative effect on early postoperative morbidity of these patients. It would be necessary to study the impact that prenatal diagnosis can have on maternal stress and its relationship with small fetuses for gestational age. In our clinical practice, a critical measure applicable would be to allow the spontaneous delivery of these fetuses unless it is not recommended due to individual circumstances. The results of this study may not be applicable to populations in low-income countries or those with lower prenatal screening rates.

How to cite this article

Blanco Rodríguez C, Cuestas Montañés E. El diagnóstico prenatal de transposición de grandes arterias se asocia a peores resultados posoperatorios tempranos. Evid Pediatr. 2024;20:31.

AVC | Critically appraised articles

Namachivayam SP, Butt W, Brizard C, Millar J, Thompson J, Walker SP, et al. Potential benefits of prenatal diagnosis of TGA in Australia may be outweighed by the adverse effects of earlier delivery: likely causation and potential solutions. Arch Dis Child. 2023;109:16-22.

Reviewers: Blanco Rodríguez C1, Cuestas Montañés EJ2.
1Pediatra. CS Sanchinarro. Madrid. España.
2Servicio de Pediatría y Neonatología. Hospital Privado Universitario de Córdoba. Córdoba. Argentina.
Correspondence: Carolina Blanco Rodríguez. Email: c_blanco50@hotmail.com
Reception date: 28/06/2024
Acceptance date: 05/07/2024
Publication date: 10/07/2024

How to cite this article

Blanco Rodríguez C, Cuestas Montañés E. El diagnóstico prenatal de transposición de grandes arterias se asocia a peores resultados posoperatorios tempranos. Evid Pediatr. 2024;20:31.

10/07/2024

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