Neonatal mortality and morbidity in Down syndrome in the time of prenatal aneuploidy testing: a retrospective cohort study

ANOMALIES Heart Defects, Congenital Down syndrome Hypertension, Pulmonary Neonatal morbidity INFANTS CHILDREN Prenatal aneuploidy screening DIAGNOSIS Pediatrics Persistent pulmonary hypertension of the neonate 03 medical and health sciences 0302 clinical medicine Pregnancy Infant Mortality Humans Neonatal mortality Retrospective Studies Science & Technology BORN Research Incidence Infant, Newborn Infant Aneuploidy PERSISTENT PULMONARY-HYPERTENSION PREVALENCE 3. Good health CONGENITAL HEART-DISEASE Congenital defects Female Down Syndrome Life Sciences & Biomedicine
DOI: 10.1007/s00431-022-04686-3 Publication Date: 2022-11-09T08:04:45Z
ABSTRACT
Abstract The total uptake of prenatal aneuploidy screening for Down syndrome (DS) is increasing worldwide. As a result diagnosis DS and subsequent termination pregnancy, livebirth prevalence decreasing. aim this study to explore the impact an on neonatal mortality morbidity in DS. This retrospective cohort 253 neonates with born between 2012 2018 that were seen at outpatient clinic five hospitals Netherlands. medical files reviewed maternal characteristics morbidities. Dutch national birth registry (Perined) provided numbers results interpreted context other published studies. Neonatal remained stable, ranging from 1.4 3.6%. A congenital heart defect (CHD) was found 138 251 (55.0%) atrial septal defect, atrioventricular ventricular being most common. type CHD did not change over time. Gastro-intestinal defects present 22 252 (8.7%), duodenal atresia as reported anomaly. Persistent pulmonary hypertension neonate (PPHN) 31 infants (12.4%). Conclusions : Although increased, appears be stable. An increased incidence PPHN found. What Known: • New: persistent
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