1. Congenital Heart Disease in South Texas Nadine Aldahhan, D.O.; Cherie Johnson, M.D., FACOG, MMM; Priscilla Gutierrez, RDMS, RDCS, RVT Christus Spohn Family Medicine Residency, Corpus Christi, Texas Undiagnosed CHD can result in delayed intervention at birth and higher morbidity and mortality. Those identified during pregnancy can be referred to cardiology and have neonatology intensive care team present at delivery. Although the etiology of CHD is unknown, it is thought to be a result of multi-factorial risk factors such as heredity, smoking and diabetes. Incidence birth defects 4 to 50 per 1000 live births. Cardiac malformation 4 to 10 live born per 1000. Severe CHD 2.5 to 3/1000 live births, moderate severe CHD: 3 per 1000 live births Ultrasound protocols created for early detection of CHD. Fetal ECHO’s have higher detection than complete scan. Introduction Objectives Evaluate congenital heart disease (CHD) found on fetal echocardiograms Review maternal history of affected infants, a secondary outcome is to identify risk factors associated with CHD unique to this area. Methods This project was approved by an IRB committee. This research project was a retrospective chart review of pregnant women identified with CHD in-utero who were referred to a Maternal Fetal Medicine (MFM) specialist in Corpus Christi, Texas. Patients were referred to MFM because of maternal risk factors such as diabetes mellitus, advanced maternal age, prior high risk pregnancy, or abnormal findings on outside ultrasound. Review of maternal demographics, medical history, and risk factors were used to look for common risk factors. Limitations One Maternal Fetal Medicine practice in Corpus Christi, Texas. Small sample size for data analysis. Patients lost to follow-up and/or change of provider. Conclusions Fetal echocardiograms performed by a local MFM practice identify pregnancies with possible CHD. It was important to know how identified abnormalities correlate with outcomes. The results of this project showed no significant difference between maternal demographics and/or medical conditions with congenital heart defects found. The goal of early intervention and better outcomes for babies after delivery is still significant motivator for performing fetal ultrasounds. Study authors do not have any financial relationships and/or conflicts of interest to disclose. VSD TGA References Li T, Hua Y. Performance of Different Scan Protocols of Fetal Echocardiography in the Diagnosis of Fetal Congenital Heart disease: A Systemic Review and Meta-Analysis. PLoS ONE. 2013;8(6):e65484. Pike J, Kirshnan A et al. Early fetal echocardiography: congenital heart disease detection and diagnostic accuracy in the hands of an experienced fetal cardiology program. Prenatal Diagnosis. 2014;34:790-796. Rossi C, Prefumo F. Accuracy of Ultrasonography at 11-14 Weeks of Gestation for Detection of Fetal Structural Anomalies, A Systemic Review. Obstetrics & Gynecology. 2013; 122 (6): 1160-1167. TOF Results