fa Advanced Sciences and Technologies in Public Health Advanced Sciences and Technologies in Public Health پژوهشي Research Article <div style="text-align: justify;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Times New Roman;"><b>Background</b> Congenital heart disease is the most prevalent congenital disorder all over the world and leads to the death of infants in India. Socioeconomic and demographic factors contribute to the inequality of congenital heart disease outcomes despite the improvements in the accuracy of the diagnostic procedures and surgical interventions. The objective of the research was to determine the influence of parental education level, household income, residence, and awareness on early diagnosis, surgical treatment, and the postoperative process of pediatric patients with congenital heart disease.<br> <b>Methods</b> A retrospective study design was used to study the data of 996 children with structural congenital heart disease who were treated at a tertiary care center. The delay in diagnosis and low knowledge of congenital heart disease were identified as predictors with the help of multivariate logistic regression.<br> <b>Results</b> Low maternal education (OR: 3.67, p < 0.001), low household income (OR: 2.53, p = 0.014), and rural residence (OR: 1.69, p = 0.006) were significant predictors of lack of awareness regarding antenatal detection of congenital heart disease at 18-20 weeks. Even though 61.6% of patients received single-stage surgery, 81.7% had the option to follow up after surgery. The level of awareness of prenatal detectability of congenital heart disease amounted to 11.05% of the parents.<br> <b>Conclusions</b> Socioeconomic and geographic disparities are some of the factors in the delay of congenital heart disease diagnosis and surgical treatment. The incorporation of congenital heart disease screening awareness into antepartum programs, increased coverage under insurance plans, and multilingual communication methods are key to improving pediatric cardiac outcomes in India.</span></span></span></div> Cardiac surgical procedures, Congenital heart disease, India, Prenatal care, Socioeconomic factors 24 31 http://hsm.umsu.ac.ir/browse.php?a_code=A-10-375-1&slc_lang=fa&sid=1 Herin Patel herin_patel2000@yahoo.com 10031947532846004976 0009-0004-6629-5419 Yes Department of CVTS, U. N. Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, India Ashish Katewa drashishkatewa@yahoo.com 10031947532846004977 10031947532846004977 No Department of Pediatric CVTS, Amrita Hospital, Faridabad, Haryana, India Bhavik Champanari champaneribhavik7@gmail.com 10031947532846004978 10031947532846004978 No Department of Pediatric Cardiology, U.N. Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, India Pratik Shah pratik08shah@yahoo.com 10031947532846004979 10031947532846004979 No Department of Research, U.N. Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, India Dhara Patel dharapatel.phd@gmail.com 10031947532846004980 10031947532846004980 No Department of Research, Gujarat Biotechnology Research Center, Gandhinagar, Gujarat, India Kartik Patel drkartikpgi@yahoo.com 10031947532846004981 10031947532846004981 No Department of CVTS, U. N. Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, India Archit Patel architpatel51@gmail.com 10031947532846004982 10031947532846004982 No Associate Professor, Department of CVTS, U. N. Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, India Shobhit Mathur mathur.1shobhit@gmail.com 10031947532846004983 0009-0005-8058-9875 No Associate Professor, Department of CVTS, U. N. Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, India Ridhhi Dhanak riddhi.dhanak.rd@gmail.com 10031947532846004984 0009-0004-2058-3693 No Associate Professor, Department of CVTS, U. N. Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, India