Our family has been touched by Congenital Heart Defects more than once. None of the diagnosed CHD's have been ruled genetic in nature, yet it seems to me that there must be some kind of genetic link.
The above picture is of our daughter Natalie with her cousin Zachary. Zachary was born in 2001 with Truncus Arteriosis, Coarctation of the Aorta, Atrial Septal Defect and Ventricular Septal Defect. Zachary has had one open heart surgery to repair his heart and is now an active baseball playing 8 year old. He may be facing one more surgery to place a larger vessel graft, but so far has done remarkably well. His CHD was diagnosed 24 hours after birth.
Our daughter, Natalie, was born with Critical Aortic Stenosis/Bicuspid Aortic Valve and Hypoplastic Left Heart Syndrome. Her CHD was diagnosed within four hours of her birth. She was in critical condition by the time we noticed that she was sick. She is on the path to have three staged surgeries to allow her heart to function as a single ventricle pump.
Just this past year, I was diagnosed as having a Bicuspid Aortic Valve. So far, I have been asymptomatic, but may face a valve replacement in the future if it's leaking continues to get worse.
I also have a first cousin with a daughter that was born with an asymptomatic Ventricular Septal Defect. So far this little one-year-old's heart is repairing itself and closing the hole.
None of these heart defects were picked up before birth by the routine fetal ultrasounds. Two of them were noticed after they started to put the baby into distress. We've been told that no one has been able to pinpoint the exact cause of these defects. Sometime during early pregnancy, a baby's heart fails to form properly, resulting in structural abnormalities. At other times the heart may stop forming normally later in pregnancy. With 40,000 babies a year born with CHD's in the USA alone and CHD'S being the leading cause of birth-defect related deaths it is a disease that needs more research and increased technology.
In Natalie and Zachary's cases, a single pulse oximetry reading after birth or during the first 24 hours would have been a red flag that these children had something wrong that needed to be addressed.
A pulse ox is not routinely done in hospitals or newborn nurseries after birth. I would like to encourage you to support use of pulse oximetry readings after birth. Tell your OB/GYN, the hospital you deliver at and if you practice in the medical or nursing fields, campaign to have it as a standard procedure. It could save many children from becoming severely ill before their CHD is noticed which could increase good outcomes and may reduce the amount of severely invasive procedures that are needed.