Pattern of Congenital Anomalies in A Tertiary Care Centre
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 1
Abstract
Aim of the Study- The aim of this study is to identify the common patterns of anomalies seen in the hospital population of a tertiary care centre in Kerala, India. Materials and Methods- This descriptive study was carried out in the obstetric unit of a tertiary care centre in Kerala for a period of one year. All patients who delivered or who had a second trimester abortion [from 14 weeks] were included in the study. All the fetus and the newborns were examined for the presence of congenital anomalies and mothers were interviewed for socio-demographic variables. Results- During the study period, 15227 babies were born, of which 379 had congenital malformations, making the prevalence 2.48 %. 78 newborns (20.58%) had multiple anomalies involving more than one system. Out of the 379 cases, 248 (65.4 %) survived. The predominant system involved was Musculo-skeletal system (24 %) followed by central nervous system (21.4 %). Out of the 131 perinatal losses, 47 cases (35.9%) were due to CNS anomalies. Talipes (15.3 %) was the most common one in musculoskeletal group while hydrocephalus (7.9%) was highest in the central nervous system anomalies. The study found that congenital anomalies were associated with low birth weight, prematurity, malpresentation, consanguinity and polyhydramnios. Conclusion - In spite of high institutional deliveries in Kerala, India, prevalence of congenital anomalies remains high. Increased awareness about preventable risk factors may help in reducing the incidence of congenital anomalies
Authors and Affiliations
Dr S. Lakshmi Vinodh
Keywords
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