Pattern of congenital malformations in newborn: a hospital-based study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20160308Keywords:
Congenital malformations, Anomalies, Newborns, Birth defectsAbstract
Background: Data on congenital malformations from developing countries like India are very few. However, it is important to have comprehensive and reliable data on the description and frequency of congenital malformations to allow surveillance and the implementation of appropriate public health strategies for prevention and management. In this study, we describe the pattern of congenital malformations seen in newborns delivered in tertiary care hospital of western Maharashtra. The objective was to study various newborn characteristics and to determine the frequency and pattern of congenital malformations at birth. Cross-sectional study conducted in Govt Medical College and Hospital Miraj, a tertiary care hospital in district of Maharashtra from June 2014 to November 2014 targeting all newborns delivered in hospital during study period.
Methods: Data was collected by administering a semi structured questionnaire and a devised newborn screening clinical examination protocol.
Results: Out of all 892 newborns (live births and still births), 24(2.69%) were having congenital malformations at birth and out of that, malformations involving circulatory system was highest i.e. 29.6% compared to other system.
Conclusions: As compared to other studies circulatory disorders appear to be more common and by improvement in antenatal, postnatal diagnosis, early referral to tertiary hospital and early intervention most of these newborns can be saved.
References
Mohamed A. Koumi El, Ehab A. Pattern of congenital anomalies in newborn. A hospital-based study.Pediatric Reports. 2013;5(e5):20-3.
Tanteles GA, Suri M. Classification and etiology of birth defects. Pediatr Child Health. 2007;17:233-43.
Shah K, Pensi CA. Study of Incidence of Congenital Anomalies In New Borns. Gujarat medical journal. 2013;68(2):97-9.
Malhotra P, Thapar K. Pattern of major congenital anomalies and their outcome. Int J Med and Dent Sci. 2015;4(1):577-81.
WHO. Fact sheet on congenital anomalies. Available at http://www.who.int/mediacentre/factsheets/fs370/en/.
Suresh S, Thangavel G, Sujatha J. Methodical issues in setting up a surveillance system for birth defects in India. National Medical Journal Of India. 2005;18(5):259-62.
Swain S, Agrawal A, Bhatia BD. Congenital malformations at birth. Indian Pediatr. 1994;31:1187-91.
World Health Organization. International Classification of Diseases and related health problems – Tenth Revision (ICD 10). Geneva: WHO. 1992. Available from: www.who.int/classifications/ icd/en/.
Singh R, Al-sudani O. Major congenital anomalies ar birth in Benghazi, Libyan Arab Jamahiriya; East Mediterr Health. 2000;6(1):65-75.
Madi SA, Al-Naggar RL, Al-Awadi SA, Bastaki LA. Profile of major congenital malformations in neonates in Al-Jahara region of Kuwait. East Mediterr Health J. 2005;11(4).
Khan Z, Pattnayak U, Ahmed AJ. Socio-cultural variables of congenital malformation in newborns. Indian Journal of Community Medicine. 1997;22(4):172.
Desai NA, Desai A. Congenital Anomalies. A Prospective Study. Bombay Hospital Journal. 2006;48:442-5.
Singh A, Gupta RK. Pattern of congenital anomalies in newborn: a hospital based prospective study. JK Science. 2009;2:34-6.
Takshande A, Vilhekar K, Chaturvedi P. Congenital malformations at birth in Central India. A rural medical college hospital based data. Indian Journal of Human Genetics. 2010;16(3):159-63.
Kumar V, Singh AJ, Marwaha RK. An epidemiological study of congenital malformation in rural children. Indian Pediatr. 1994;31(8):909-14.
Ali A, Shafikhani Z, Abdulani M. Congenital malformations among live births at Arvand hospital, Ahwaz, Iran-A prospective study. Pak. J. Med Sci. 2008;24:33-7.
Ndibazza J, Lule S, Nampijja M. A Description of Congenital Anomalies Among Infants in Entebbe, Uganda. Birth Defects Research. 2011;91:857-61.
Sarkar S, Patra C, Dasgupta MK. Prevalence of Congenital Anomalies in Neonates and Associated Risk Factors in a Tertiary Care Hospital in Eastern India. J Clin Neonatol. 2013;2(3):131-4.