33 year old married female
Gravida 1 Para 0
No significant past medical or surgical history.
Booked early in a private obstetric unit, subsequently transferred care to a public hospital for cost reasons.
Her antenatal blood investigations were unremarkable.
Non invasive prenatal test: Low risk, Male fetus
No OGTT was done.
Of significance are her fetal ultrasound scans showing a congenital cardiac anomaly that was first detected at 22 weeks gestation showing a ventricular-septal defect (Image 1) of 5mm in dimension (Image 2).
Image 1: 4 Chamber view of fetal heart on ultrasound with Doppler colour.
Arrow showing location of VSD.
|Image 2: 4 Chamber view of fetal heart on ultrasound showing dimensions, 5mm VSD.|
Patient achieved a normal vaginal delivery at term. Live baby was born at birth weight of 3kg.
Fetal Ventricular Septal Defect.
Will need paediatric cardiology and paediatric surgery involvement post delivery
Learning how to read a 4 chamber view on a normal ultrasound for a fetus.
Being able to identify fetal cardiac pathology.
Implications on this current pregnancy
Which are the appropriate specialities involves in post delivery care.