Standardized delivery room management for neonates with a prenatal diagnosis of congenital heart disease: A model for improving interdisciplinary delivery room care

Article type: Review Article

Authors: Sethi, N.^a | Klugman, D.^b | Said, M.^c | Hom, L.^a | Bowers, S.^a | Berger, J.T.^b | Wernovsky, G.^{a; b} | Donofrio, M.T.^{a; *}

Affiliations: [a] Division of Cardiology, Children’s National Hospital, Washington, DC, USA | [b] Division of Cardiac Critical Care, Children’s National Hospital, Washington, DC, USA | [c] Division of Neonatology, Children’s National Hospital, Washington, DC, USA

Correspondence: [*] Address for correspondence: Mary Donofrio, Division of Cardiology, Children’s National Hospital, 111 Michigan Avenue NW, Washington, DC 20010, USA. Tel.: +1 202 476; Fax: +1 202 476 3900; E-mail: mdonofri@childrensnational.org.

Abstract: Precise characterization of cardiac anatomy and physiology through fetal echocardiography can predict early postnatal clinical course. Some neonates with prenatally defined critical congenital heart disease have anticipated precipitous compromise during perinatal transition for which specialized, diagnosis-specific delivery room care can be arranged to expeditiously stabilize cardiopulmonary hemodynamics. In this article, we describe our institutional approach to the delivery room care of neonates with prenatally diagnosed congenital heart disease, emphasizing our diagnosis-specific care pathways for newborns with critical disease.

Keywords: Delivery room, prenatal diagnosis, congenital heart disease

DOI: 10.3233/NPM-200626

Journal: Journal of Neonatal-Perinatal Medicine, vol. 14, no. 3, pp. 317-329, 2021