Study of Congenital Malformation in a Tertiary  Care Teaching Hospital

Objective: Congenital anomaly is one of the most important causes & being the 5th most common cause of neonatal mortality & morbidity. It may present as a structural or functional abnormality. These defects occur due to defective embryogenesis. Associated factors may be maternal age, maternal TORCH infection, drugs, genetic factors. Antenatal USG reduces the incidence.Materials and Methods: A cross-sectional study was done in the Pediatric department over 1 year. Diagnosis of all congenital anomalies was done by the concerned pediatrician& pediatric surgeon. Data was collected in the specified format.Results: A total of 10205 cases of age group 1 month to 5 years presented to the paediatric OPD, out of which 193 children were diagnosed as congenital anomalies in 1 year. Males were found to be affected the most. The most common system involved was found to be the genitourinary system (36.78%). The second most common system involved was the gastrointestinal system (33.67%). The least common system involved was the musculoskeletal system.Conclusion: Congenital anomalies are a major cause of neonatal & infantile mortality & morbidity. Routine screening with a level II targeted scan for all the pregnant mothers should be mandatory. Adequate nutrition, parental education & Rubella vaccination of the mother can decrease the prevalence of congenital anomalies to some extend.

Download Full-text

A Cross-sectional Study of Congenital Anomalies in a Tertiary Care Hospital in North East Region, India

10.9734/bpi/hmms/v18/3032f ◽

2021 ◽

pp. 63-71

Author(s):

Kangjam Radhesana Devi ◽

R. K. Praneshwari Devi ◽

Jyoti Priya ◽

Ahanthembi Sanaton ◽

Leimapokpam Roshan Singh ◽

...

Keyword(s):

Congenital Anomalies ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

North East ◽

East Region

Download Full-text

Perinatal Mortality among All Deliveries in a Tertiary Care Center: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.6691 ◽

2021 ◽

Vol 59 (243) ◽

pp. 1075-1080

Author(s):

Saraswoti Kumari Gautam Bhattarai ◽

Roshana Ghimire ◽

Sapana Duwadi ◽

Rabin Khadka ◽

Kanchan Gautam

Keyword(s):

Confidence Interval ◽

Perinatal Mortality ◽

Congenital Anomalies ◽

Binary Data ◽

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Tertiary Care Center ◽

Sectional Study ◽

Cross Sectional

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.

Download Full-text

FREQUENCY OF CONGENITAL ANOMALIES OF THE KIDNEY AND URINARY TRACT BY MEANS OF ULTRASONOGRAPHY IN NEONATES AT A TERTIARY-CARE HOSPITAL

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v71i4.3914 ◽

2021 ◽

Vol 71 (4) ◽

pp. 1214-17

Author(s):

Uzma Rasool ◽

Saqib Ur Rehman ◽

Saeed Bin Ayaz ◽

Ghulam Rasool Tariq ◽

Ghulam Ghaus Shah

Keyword(s):

Urinary Tract ◽

Congenital Anomalies ◽

Tertiary Care ◽

Cross Sectional Study ◽

Medical Institute ◽

Care Hospital ◽

Abdominal Ultrasonography ◽

Cross Sectional ◽

Study Population ◽

Corticomedullary Differentiation

Objective: To determine the frequency of congenital anomalies of the kidney and urinary tract by means of ultrasound in neonates. Study Design: Cross-sectional study. Place and Duration of Study: Department of Radiology and Diagnostic Imaging, Rehman Medical Institute, Peshawar, from May 2015 to Jan 2016. Methodology: A total of 150 neonates reporting for routine abdominal ultrasonography were included. Honda Convex Scanner model HS-2000 with probe of frequency of 5-7 MHz was used for the ultrasonography. Results: Mean age of the neonates was 13.8 ± 7.5 days. Seventy-six (50.7%) were male and 74 (49.3%) were female. Congenital anomalies of the kidney and urinary tract were observed in 10 (6.7%) neonates. Most neonates had more than one anomaly. The left side was involved in 6 (4%) neonates while right side was involved in 4 (2.7%). Hydronephrosis was the most common abnormality found in 8 (5.3%) cases. The location of kidneys was abnormal (ectopic) in 2 (1.3%) neonates. Abnormal dimension was seen in seven cases and abnormal corticomedullary differentiation was found in 5 (3.3%) cases. Non-symmetrical cases were 5 (3.3%). Hydroureter was observed in 3 (2%) neonates and urinary bladder was abnormal in 2 (1.3%) neonates. Conclusion: The frequency of congenital anomalies of the kidney and urinary tract in neonates by means of postnatal ultrasonographic scan in our study population was 6.7%. Hydronephrosis was the most common anomaly.

Download Full-text

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

10.1136/archdischild-2019-epa.635 ◽

2019 ◽

Author(s):

Fatima Ali Mazahir ◽

Manal Mustafa Khadora

Keyword(s):

Congenital Hypothyroidism ◽

Health Authority ◽

Congenital Anomalies ◽

Tertiary Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Tertiary Care Centers

Download Full-text

Pattern of Congenital Overt and Occult Pediatric Surgical Anomalies in a Tertiary Care Centre Over 5 Years

Galore International Journal of Health Sciences and Research ◽

10.52403/gijhsr.20211004 ◽

2021 ◽

Vol 6 (4) ◽

pp. 16-20

Author(s):

Sam Varkey ◽

Aravind C. S ◽

Reeti Rajan

Keyword(s):

Congenital Anomalies ◽

Pediatric Surgery ◽

Hospital Admissions ◽

Tertiary Care ◽

Tertiary Care Centre ◽

Cross Sectional ◽

Low Socioeconomic ◽

Medical College ◽

Common System ◽

History Of

ongenital anomalies are important cause of infant and childhood deaths, chronic illness and disability. The proportion of deaths and disability due to congenital anomalies has increased, as deaths due to other diseases have decreased over the years due to better health care. Hence it is essential to have basic epidemiological information of these anomalies. This is a hospital based, cross-sectional, record based study, conducted in the Department of Pediatric Surgery, Govt. Medical College Thiruvananthapuram, Kerala. Sample size included 300 children below the age of 12years admitted in the department of pediatric surgery with various major congenital anomalies, over a period of 5 years. More than half of these children were admitted after infancy for treatment, male children were more compared to females. Majority of these children were from low socioeconomic group. Only in 5.6% cases there was a history of consanguineous marriage. In 7.33% there was family history of congenital anomalies. In 32% cases the anomalies were detected in the antenatal period. Most of the anomalies were isolated anomalies. Genitourinary system was the most common system to be involved followed by, gastrointestinal tract. 91.67% children underwent surgical treatment, and only 10.67% children had major complications in postoperative period. This study shows that congenital anomalies are a major cause of hospital admissions in children of all ages. Pattern of anomalies seen in various centers are different. Knowledge of the pattern of congenital anomalies may be useful in planning health services. Keywords: Congenital, Anomalies, Pediatric surgery.

Download Full-text

A study of congenital anomalies in a tertiary care hospital in North East region, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182903 ◽

2018 ◽

Vol 7 (7) ◽

pp. 2899 ◽

Cited By ~ 1

Author(s):

Kangjam Radhesana Devi ◽

R. K. Praneshwari Devi ◽

Jyoti Priya ◽

Ahanthembi Sanaton ◽

Leimapokpam Roshan Singh ◽

...

Keyword(s):

Congenital Anomalies ◽

Congenital Malformations ◽

Maternal Age ◽

Cleft Lip ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

North East ◽

Still Births

Background: Congenital anomalies are important cause of morbidity and mortality in newborns and are defined as structural and functional abnormalities including metabolic disorders present at birth. These defects are of prenatal origin resulting from defective embryogenesis or intrinsic abnormalities in the process of development and are associated with various risk factors.Methods: Our study is a cross-sectional study done at Regional Institute of Medical Sciences, Imphal over period of one and half years from May 2016 to October 2017. Aim of study was to find out incidence of congenital anomalies and proportions of different types of congenital anomalies. Outcome was studied in relation to maternal age, religion, parity, gestational age, sex of baby, outcome and birth weight of baby.Results: Total numbers of congenital anomalies were 91 out of 13658 births. Incidence of congenital anomalies was 0.66%. Most common congenital anomaly was cleft lip (17.6%) followed by CTEV (13.2%) and was more common among male term babies. These were most common in 18-24 years of maternal age group (34.1%) followed by 30-34 years (26.4%) and among women of parity P0-P2.Conclusions: Congenital malformations are a major cause of still births and infant mortality. A level II targeted scan should be done at 18-20 weeks to find out anomalies and reduce the prevalence. There should be widespread education in the community regarding the common congenital malformations, their outcomes and possible available modes of treatment.

Download Full-text

Congenital anomalies in a tertiary care hospital in North East region, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20193554 ◽

2019 ◽

Vol 8 (8) ◽

pp. 3295

Author(s):

R. K. Praneshwari ◽

N. Nabakishore Singh ◽

Akoijam Tamphasana Devi ◽

Jyoti Priya ◽

L. Ranjit Singh

Keyword(s):

Congenital Anomalies ◽

Congenital Malformations ◽

Maternal Age ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

North East ◽

East Region ◽

Still Births

Background: Congenital anomalies are important cause of morbidity and mortality in newborns and are defined as structural and functional abnormalities including metabolic disorders present at birth. These defects are of prenatal origin resulting from defective embryogenesis or intrinsic abnormalities in the process of development and are associated with various risk factors.Methods: Our study is a cross sectional study done at Regional Institute of Medical Sciences, Imphal over period of 3 years from January 2015 to December 2017. Aim of study was to find out incidence of congenital anomalies and proportions of different types of congenital anomalies. Outcome was studied in relation to maternal age, religion, parity, and gestational age, sex of the baby, outcome and sex of the baby.Results: Total numbers of congenital anomalies were 257 babies out of 29879 births giving the incidence of 0.86%. Most common congenital anomalies in this study are musculoskeletal followed by craniospinal, genitourinary, cardiovascular and gastrointestinal. It was more common in preterm babies and parity 1-3, more common in 21-30 years of maternal age. Consanguinity was seen in 7 out of 257 patients.Conclusions: Congenital malformations are a major cause of still births and infant mortality. Targeted scan should be done at 18-20 week to find out anomalies and reduce the prevalence. There should be widespread education in the community regarding the common congenital malformations, their outcomes and possible available mode of treatment

Download Full-text

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.

Download Full-text

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.

Download Full-text