Although fetal cardiac programs are well established in developed countries, establishing an efficient program in low- and middle-income countries (LMICs) is still considered a significant challenge. Substantial obstacles usually face the initiation of fetal cardiac service from scratch in LMICs. The primary structural frame of a successful fetal cardiac program is described in detail, emphasizing the required team members. The potential challenges for starting fetal cardiac services in LMICs include financial, awareness-related, prenatal obstetric screening, sociocultural, psychosocial, and social support factors. These challenges could be solved by addressing these barriers, such as collecting funds for financial support, raising awareness among families and health care providers, telemedicine, building international health partnerships, modifying training protocols for fetal cardiologists and sonographers, and initiating support groups and social services for families with confirmed fetal cardiac disease. Initiating a successful fetal cardiac program requires multi-aspect structural planning. The challenges for program initiation require diverse efforts, from modified training and promoting awareness of care providers and the community to governmental and nonprofit organizations’ collaborations for proper building and utilization of program resources.

尽管胎儿心脏项目在发达国家已经很完善，但在低收入和中等收入国家（LMIC）建立有效的项目仍然被认为是一项重大挑战。中低收入国家从头开始提供胎儿心脏服务通常面临重大障碍。详细描述了成功的胎儿心脏计划的主要结构框架，强调了所需的团队成员。在中低收入国家开展胎儿心脏服务的潜在挑战包括财务、意识相关、产前产科筛查、社会文化、社会心理和社会支持因素。这些挑战可以通过解决这些障碍来解决，例如筹集财务支持资金、提高家庭和医疗保健提供者的认识、远程医疗、建立国际卫生伙伴关系、修改胎儿心脏病专家和超声检查人员的培训方案以及发起支持小组和社会服务对于确诊患有胎儿心脏病的家庭。成功启动胎儿心脏计划需要多方面的结构规划。项目启动所面临的挑战需要采取多种努力，从修改培训和提高护理提供者和社区的意识，到政府和非营利组织的合作以正确建设和利用项目资源。