CONGENITAL ANOMALIES IN NEONATES AND ASSOCIATED RISK FACTORS IN A TERTIARY CARE HOSPITAL: A SINGLE CENTER STUDY FROM INDIA

Biswal Seba R.; Mishra Shubhankar; Panigrahi Sambedana

Volume : VII, Issue : XI, November - 2017

CONGENITAL ANOMALIES IN NEONATES AND ASSOCIATED RISK FACTORS IN A TERTIARY CARE HOSPITAL: A SINGLE CENTER STUDY FROM INDIA

Biswal Seba R. , Mishra Shubhankar, Panigrahi Sambedana

Abstract :

Background: Congenital anomalies can contribute to long–term disability, which may have significant impacts on individuals, families, health–care systems, and societies. The most common, severe congenital anomalies are heart defects, neural tube defects and Down syndrome. The objective of this study was to determine the proportion and pattern of congenital anomalies in live newborns in our area and to study the associated maternal and perinatal risk factors.

Materials and methods: This was a prospective observational study and was carried out in the neonatal care unit of a large tertiary care Hospital in bhubaneswar, Odisha, India from august 2015 to July 2016. All the babies who were born with congenital anomalies during this period in our hospital (inborn) and those entire babies who were ought to outdoor or emergency (outborn) were included. The patients having congenital anomalies were examined with detail by consultant paediatrician and neonatologist before documentation. Diagnosis of congenital anomalies was based on clinical evaluation of newborn babies by the paediatrician and consultant neonatologist. Data were entered into excel data sheet and the prevalence rate was estimated as a per cent of the total number of babies admitted in the unit within the period of the study. Data was analyzed using SPSS 20.

Results: The total number of neonates born and came to the hospital in the study time was 11867. Out of them 319 (2.9%) neonates were having some structural congenital anomaly. Male, multigrvida, consagnous, LSCS patients were having high incidence. Musculoskeletal defects were most common.

Conclusion: Public awareness about preventable risk factors is to be created and early prenatal diagnosis and management of common anomalies is strongly recommended.