Congenital Anomalies Among Singleton Live Births in a Tertiary Care Teaching Hospital

Background: The Congenital anomalies were estimated to be the fifth largest cause of neonatal deaths in India. The purpose of our study was to determine the proportion and pattern of congenital anomalies and their association with risk factors like maternal diabetes, advanced maternal age and consanguinity among the babies born in a tertiary care teaching hospital in Chennai.Methods: This study is a cross sectional descriptive study where all the newborns including still born delivered with the presence of congenital anomalies and those fetuses terminated due to detection of presence of congenital anomalies were analyzed. The study was done at the OBG department in a tertiary care center for a period of one year 1st June 2015 to 31st May 2016.Results: The overall incidence of birth defects were 2.36%, of which musculo skeletal defects (18.88%) were commonly found. There was a definite correlation of risk factors with consanguinity showing an incidence of 1.5 times the overall incidence of birth defects (3.54%) and maternal diabetes mellitus was 6 times the total incidence (15.3%). The correlation between the incidence of birth defects and advanced maternal age was not statistically significant in our study.Conclusions: The study depicts the risk of occurrence of congenital anomalies in the presence of maternal diabetes and in consanguineous marriage and emphasizes on the necessity of adequate screening like first trimester and second trimester ultrasonogram for the early detection of anomalies in the fetus especially if these risk factors are present in the mother.

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A prospective study on congenital anomalies at birth at a tertiary care teaching hospital in Bihar

Journal of Indira Gandhi Institute Of Medical Sciences ◽

10.4103/jigims.jigims_8_20 ◽

2021 ◽

Vol 7 (1) ◽

pp. 22

Author(s):

Pushpa ◽

Shubhanti Kumari

Keyword(s):

Prospective Study ◽

Teaching Hospital ◽

Congenital Anomalies ◽

Tertiary Care ◽

Tertiary Care Teaching Hospital ◽

Care Teaching ◽

A Prospective Study

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Maternal mortality at a tertiary care teaching hospital in Dibrugarh district, Assam: a retrospective study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20173842 ◽

2017 ◽

Vol 4 (9) ◽

pp. 3342

Author(s):

Lima Hazarika ◽

Pranay Phukan ◽

Anand Sharma ◽

Nabajit Kr. Das

Keyword(s):

Mortality Rate ◽

Maternal Mortality ◽

Teaching Hospital ◽

Maternal Death ◽

Tertiary Care ◽

Maternal Deaths ◽

Tertiary Care Teaching Hospital ◽

Live Births ◽

Care Teaching

Background: Maternal mortality is a measure of quality of health care in a community. Assam has the highest maternal mortality rate among all India’s states, which is almost double the national average, with around 328 deaths per 100 000 live births. Three quarters of these deaths are among the tea plantations community. It has serious implications on the family, the society and the nation. Maternal mortality rate (MMR) is a very sensitive index that reflects the quality of reproductive care provided to the pregnant women. The objective of the study was to assess the Institutional maternal mortality and the causes of maternal death over a period of a year at a Tertiary Care Teaching Hospital in Dibrugarh district, Assam.Methods: A retrospective hospital based study of maternal death cases from September 2015 to August 2016 was conducted to assess the maternal mortality. The study was carried out in the Obstetrics and Gynaecology Department of Assam Medical College and Hospital (AMCH), Assam. The study included 48 maternal deaths in the year. The information regarding reproductive parameters was collected from the maternal death register and the results were analyzed by using percentage.Results: Out of 9789 total deliveries, Institutional Maternal Mortality was found to be 490 per 1, 00,000 live births. The maternal death was high among the Tea Garden community (66.7%) at the age group 15–20 years and was prevalent mainly in the illiterates (31.3%). Anaemia (29.1%) was the leading cause of death; followed eclampsia (23.0%) and septicaemia (17.0%) while cardio respiratory failure was indirect leading cause for maternal deaths.Conclusions: There is a wide scope for improvement as a large proportion of the observed deaths were preventable. Most maternal deaths can be limited by utilisation of existing medical facilities and identifying the barriers in accessing health delivery system. Early identification of high risk pregnancies and regular ante-natal check up with timely referral to tertiary care centre can help reduce the mortality among the women.

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