Fetal Heart Program

Reasons for referral for fetal echo
  • Maternal risk factors
    • Family history of CHD, particularly in first-degree relatives
    • Maternal disease such as diabetes, lupus, PKU, hyperthyroidism
    • Environmental exposure, drug exposure particularly alcohol, seizure medicines, lithium
    • Viral infection
  • Fetal risk factors
    • Cardiac defect noted on US
    • Dysrhythmia noted by OB
    • Chromosomal abnormality suspected by US or confirmed by CVS or amniocentesis
    • Syndrome suspected by US
    • Extracardiac anomalies noted by US including 2 vessel cord, omphalocele, CCAM, diaphragmatic hernia
    • Fetal distress/IUGR
    • Nonimmune hydrops, polyhydramnios
  • Indications for first trimester fetal echo
    • Increased nuchal translucency noted in the first trimester
    • Significant family history of CHD particularly complex heart disease in a previous child
    • Maternal lupus particularly if a previous child developed complete heart block

Shaping the Future of Fetal Cardiology

Fetal cardiologist, Mary T. Donofrio, MD, authored the first set of clinical guidelines for the evolving specialty of fetal cardiology. Learn about the new guidelines.

Read More of Shaping the Future of Fetal Cardiology

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