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Andersons pediatric cardiology 278

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Summary
CounselingforaprenataldiagnosisofCHDisextremelychallengingand
requiresknowledge,skills,experience,andanadequatelyresourcedand
cohesiveteam.AsthediagnosisoffetalCHDresultsinhighlevelsofparental
stress,itisvitalthatparentsreceivetimely,empatheticandaccurateinformation
alongwithemotionalandpracticalsupportfromthemultidisciplinaryteamearly
inthediagnosis,throughinitialdecisionmaking,fortheremainderofthe
pregnancyandwellintotheperinatalandneonatalperiod.


AnnotatedReferences
AryaB,GlicksteinJS,LevasseurSM,WilliamsIA.
Parentsofchildrenwithcongenitalheartdisease
prefermoreinformationthancardiologists
provide.CongenitHeartDis.2013;8(1):78–85.
Animportantstudyillustratingthatparentsof
childrenwithCHDprefertoreceivemore
counselingandeducationalinformationinthe
prenatalandneonatalperiodsthancardiologists
believeisdesiredorwarranted..
BensemlaliM,StirnemannJ,LeBidoisJ,etal.
Discordancesbetweenpre-natalandpost-natal
diagnosesofcongenitalheartdiseasesand
impactoncarestrategies.JAmCollCardiol.
2016;68(9):921–930.
Animportantstudyshowingthevariancebetween
expertprenataldiagnosisandfinalconfirmed
diagnosismadepostnatallyorbyfetopsies..
BrattEL,JärvholmS,Ekman-JoelssonBM,etal.
Parent'sexperiencesofcounsellingandtheir
needforsupportfollowingaprenataldiagnosis


ofcongenitalheartdisease-aqualitativestudyin
aSwedishcontext.BMCPregnancyChildbirth.
2015;15:171.
Arecentstudythatoutlinesparents’experiencesof


aprenataldiagnosisofCHDandgives
recommendationsforhowtostructure
counselingandfollow-uptomeetparents’
needs..
BrosigCL,BearL,AllenS,etal.Preschool
neurodevelopmentaloutcomesinchildrenwith
congenitalheartdisease.JPediatr.
2017;183:80–86.
AstudyshowingthatmostchildrenwithCHD
withoutcomorbidgeneticconditionsdonothave
severedelays.Forthosewithoutgenetic
conditions,neurodevelopmentaldelaysdidnot
differbetweenthosewithsingleventricleand
biventricularphysiologies..
CostelloJM,MussattoK,CassedyA,etal.
Predictionbycliniciansofqualityoflifefor
childrenandadolescentswithcardiacdisease.J
Pediatr.2015;166(3):679–683.
Thisstudyfoundthatphysiciansandnurseswho
routinelycareforcardiacpatientshadpoor
reliabilityforpredictingpatientandparentproxyreportedHealth-RelatedQualityofLife
(HRQOL).Italsofoundpooragreementbetween
cliniciancategorieswhenpredictingpatientand
parent-proxyreportedHRQOL..

Hilton-KammD,SklanskyM,ChangRK.Hownot
totellparentsabouttheirchild'snewdiagnosis



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