Socioeconomic barriers hinder prenatal diagnosis of congenital heart defects

NewsGuard 100/100 Score

Prenatal diagnosis of congenital heart defects – the most common birth defects in the United States – is associated with improved outcomes. Despite its importance, however, overall prevalence of prenatal diagnosis is low (12-50 percent). A recent multi-center study surveyed caretakers of infants who received congenital heart surgery in the Chicago area and found that social determinants or influencers of health constitute significant barriers to prenatal diagnosis from the patients' perspective.

In the study, nearly 80 percent reported at least one socioeconomic barrier to prenatal diagnosis. The most common socioeconomic barriers were difficulty with appointment scheduling, distance to care or lack of transportation access, challenges with getting time off work to attend appointments, and lack of childcare. Findings were published in the journal Prenatal Diagnosis.

Undetected congenital heart defects on ultrasound, and technical ways to improve detection, are robust areas of research in the field of fetal cardiology. But we found that socioeconomic factors that interfere with prenatal diagnosis were even more commonly reported by patients than undetected defects on ultrasound. The strength of our study comes from talking to patients, which allowed us to dive deeper into the details and uncover socioeconomic barriers that can be directly addressed so that we can potentially improve the rate of prenatal diagnosis and simultaneously lessen disparities in prenatal diagnosis."

Joyce Woo, MD, MS, lead author, cardiologist at Ann & Robert H. Lurie Children's Hospital of Chicago and Assistant Professor of Pediatrics and Medical Social Sciences at Northwestern University Feinberg School of Medicine

From a policy standpoint, paid sick leave might help resolve some of the work-related barriers to prenatal diagnosis, such as fear of losing a job or income due to taking time off for medical care. In Illinois, effective January 2024, employers must guarantee 40 hours per year of paid sick leave for full-time employees.

"A natural experiment might estimate the effect of this type of sick leave policy on adherence to medical care, and even longer-term outcomes like prenatal congenital heart defects diagnosis," said Dr. Woo. "This could directly inform advocacy efforts to expand paid sick leave in other jurisdictions."


The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.

You might also like...
Linking lifestyle to longevity: How diet and hypertension sway risks for heart disease and cancer