P285 The association of congenital anomalies in patients with congenital hypothyroidism in government tertiary care centers under dubai health authority, UAE: 2000–2015, a retrospective cross – sectional study

Introduction: Perinatal mortality comprises the number of stillbirths and death of newborns within seven days of life which is the main contributor to infant and maternal mortality. The aim of this study was to find out the prevalence of perinatal mortality among all the deliveries in a tertiary care center of a remote part of Nepal. Methods: This was a descriptive cross-sectional study conducted in a tertiary care center located in Jumla among 3798 deliveries (childbirth) from August 2014 to April 2020. Ethical approval was taken from the institutional review committee (2076/2077/05) of the same institution. A convenience sampling technique was used and the data were collected from the medical record section and then entered and analyzed in Statistical Package for Social Sciences version 16. Point estimate at 95% Confidence Interval was calculated along with frequencies and percentages for binary data. Results: The prevalence of perinatal mortality was 187 (4.92%) (4.23-4.60% at 95% Confidence Interval) among 3798 deliveries. Regarding the primary causes; the highest proportion was intrapartum hypoxia 62 (33.3%), spontaneous preterm labor 40 (21.5%), and congenital anomalies 38 (20.4%). Similarly, about the final cause; the highest proportion was birth asphyxia 64 (34.2%), intrauterine fetal death 51 (27.3%), congenital anomalies 35 (18.7%), and complication of prematurity 32 (17.1%). Conclusions: The perinatal mortality was quite high in this study with respect to similar studies done in other countries. The finding of this study showed that quality antenatal care with rural ultrasound service is essential to reduce the causes of perinatal mortality.

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The ambit of congenital malformations in the Kachchh district- a hospital-based study at a tertiary care center

Obsgyne Review: Journal of Obstetric and Gynecology ◽

10.17511/joog.2020.i06.02 ◽

2020 ◽

Vol 6 (6) ◽

pp. 114-119

Author(s):

Dr. Dhwani Mehta ◽

◽

Dr. Charmi Pawani ◽

Dr. Snehal B Kukadiya ◽

Dr. Nimish Pandya ◽

...

Keyword(s):

Congenital Anomalies ◽

Birth Defect ◽

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Tertiary Care Center ◽

Sectional Study ◽

Cross Sectional ◽

Present Cross Sectional Study ◽

Study Participants

Background and Aim: Quantifying birth defects in a population is felt as a need as it helpsinappropriate allocation of the health budget to tackle and reduce perinatal, neonatal, and infantmortality rates. Hence a study on congenital anomalies was undertaken in the region of Kachchhdistrict. Material and Methods: Present cross-sectional study was performed on 10 patientsdiagnosed with having congenital malformed fetuses at tertiary care center- G.K. General Hospital,Bhuj, Kachchh district, Gujarat, India over three months – January, February, March 2019. Results:Mean age of the study participants were 22.3 years, most (70%) of the study participants wereprimigravida. Hydrocephalus was the most common birth defect among study participants. Eightypercentages (80%) of study participants had gross anomalies. Sixty percentages (60%) ofparticipants had the outcome of termination. Conclusion: Congenital anomalies were in babies tomothers between 20-30 years of age. Once an anomaly is detected, various management optionsare to be discussed with the patients in consultation with a neonatologist, pediatric surgeon, andneurosurgeon when necessary.

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A cross sectional study to find incidence of clinically detectable congenital malformations and factors affecting it in tertiary care hospital

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20194556 ◽

2019 ◽

Vol 6 (6) ◽

pp. 2364

Author(s):

Vikram V. Yaragatti ◽

Shivanagouda .

Keyword(s):

Congenital Anomalies ◽

Congenital Malformations ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Mortality And Morbidity ◽

Factors Affecting ◽

Difficult Challenge

Background: Congenital malformations are emerging as an important perinatal problem, contributing sizably to the perinatal mortality with considerable repercussions on the mothers and the families. Patients with multiple congenital anomalies present a relatively infrequent but tremendously difficult challenge to the pediatrician. Authors objective was to study the incidence of clinically detectable congenital malformations among consecutive births in hospital deliveries examined during hospital stay.Methods: A prospective cross sectional study was conducted in Department of Pediatrics at Dr R N Cooper Municipal General Hospital, Mumbai from June 2016 to June 2017. All live births from June 2016 to June 2017 were considered in the studyResults: The total number of deliveries in our hospital were 3120(100%) and the total number of babies with congenital anomaly were 43(1.4%), So the incidence of congenital anomalies amongst study population was 1.4%. The involvement of various systems was seen in our study. The involvement of CNS (9.3%), Eye (7%), ENT (28%), GIT (20.9%), Urinary Tract (2.3%), Musculoskeletal System (35%), Gentialia (7%), CVS (7%).Conclusions: Congenital malformation, one of the important causes of infant mortality and morbidity can be reduced by proper preconception care and level two anomaly scan. Congenital anomalies must be identified, as early diagnosis and surgical correction of malformed babies offer the best chance for survival.

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Study of Abdominal Shirodkar sling operation for uterocervical prolapse

Obsgyne Review: Journal of Obstetric and Gynecology ◽

10.17511/joog.2020.i06.03 ◽

2020 ◽

Vol 6 (6) ◽

pp. 120-124

Author(s):

Dr. Uday M, Patel ◽

◽

Dr. Manoranjana B. Shah ◽

Dr. Jui R. Shah ◽

◽

...

Keyword(s):

Birth Defects ◽

Congenital Anomalies ◽

Birth Defect ◽

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Present Cross Sectional Study ◽

Study Participants

Background and Aim: Quantifying birth defects in a population is felt as a need as it helpsinappropriate allocation of the health budget to tackle and reduce perinatal, neonatal, and infantmortality rates. Hence a study on congenital anomalies was undertaken in the region of Kachchhdistrict. Material and Methods: Present cross-sectional study was performed on 10 patientsdiagnosed with having congenital malformed fetuses at tertiary care center- G.K. General Hospital,Bhuj, Kachchh district, Gujarat, India over three months – January, February, March 2019. Results:Mean age of the study participants were 22.3 years, most (70%) of the study participants wereprimigravida. Hydrocephalus was the most common birth defect among study participants. Eightypercentages (80%) of study participants had gross anomalies. Sixty percentages (60%) ofparticipants had the outcome of termination. Conclusion: Congenital anomalies were in babies tomothers between 20-30 years of age. Once an anomaly is detected, various management optionsare to be discussed with the patients in consultation with a neonatologist, pediatric surgeon, andneurosurgeon when necessary.

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A cross sectional study on the prevalence of structural congenital anomalies among neonates delivered in a tertiary care hospital, Chennai from January 2016 to February 2017

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20174734 ◽

2017 ◽

Vol 4 (6) ◽

pp. 2075

Author(s):

Vinodh Muthu ◽

Mekalai Suresh Kumar ◽

Anitha Ram Ponnappan

Keyword(s):

Neural Tube ◽

Neural Tube Defects ◽

Congenital Anomalies ◽

Cleft Lip ◽

Heart Diseases ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

Background: Congenital anomalies are important contributors to infant and childhood deaths, chronic illness and disability. The pattern and type of anomaly varies regionally. The planning and the implementation of public health programs for congenital anomalies are dependent on the prevalence data. Adequate data is unavailable in our country. The objective of this study was to study the prevalence of congenital anomalies and the factors influencing them, in Government RSRM lying in hospital, Chennai from January 2016 to February 2017.Methods: This is a cross-sectional study conducted in Government RSRM lying-in hospital, a tertiary care neonatal unit, from January 2016 to February 2017. The case records of neonates delivered during the study period were studied to identify those with congenital anomalies. The factors possibly influencing congenital anomalies were studied.Results: The number of case records analyzed was 11242, out of which 157 neonates were reported to have structural congenital anomalies; the prevalence was 1.4%. Congenital heart disease formed the majority, 46.5% (73/157) of congenital anomalies identified. The most common extra-cardiac congenital anomalies noted were cleft lip/cleft palate (15/157) 9.6%, followed by single umbilical artery which was noted in 5.7% (9/157). Down’s syndrome was seen in 3.8% (6/157) and neural tube defects in 3.2% (5/157) of the babies with congenital anomalies.Conclusions: The prevalence of commonly occurring congenital anomalies in the study hospital was comparable to the prevalence in other similar studies in India. The prevalence of neural tube defects was lower in our area compared to other countries whereas, that of acyanotic heart diseases were higher than in other studies.

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