Spectrum of congenital malformations at birth among neonates in a private medical college in South Rajasthan

Authors

  • Ravi Bhatia Department of Pediatrics, Pacific Medical College, Udaipur, Rajasthan, India
  • Gunjan Bhatia Department of Pathology, R.N.T. Medical College, Udaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20193723

Keywords:

Congenital anomalies, Neonates

Abstract

Background: Congenital anomalies contribute to about 12% neonatal deaths annually .Neonates with multiple congenital malformations pose a very difficult management problem for the treating physician. This study was done to know the incidence, pattern of congenital anomalies and to study various maternal risk factors leading to congenital anomalies which may help us in devising strategies for better patient counseling and management.

Methods: Prospective cross sectional study carried out from 1st Jan 2014 to 31st December 2018 in a private medical college in India. Neonates (both live and still born) delivered in our hospital during this period formed the part of study group. All congenital anomalies present were documented and classified according to system involoved.

Results: Total number of neonates with congenital anomalies were 90, out of which 73 were live births and 17 were still births. The overall incidence of congenital anomalies was 2.375%. The commonest system affected was musculoskeletal system (27.7%) followed by CNS (24.4%). Among the maternal risk factors studied, increased maternal age, consanguineous marriage, maternal gestational diabetes mellitus were all significant risk factors associated with congenital anomalies.

Conclusion: Congenital anomalies are a global health problem. In our study we have documented that multiparity, consanguinity, diabetes mellitus, Pregnancy induced Hypertension (PIH), maternal anemia, maternal malnutrition to be major contributing factors for congenital anomalies. Present study highlighted that musculoskeletal and CNS systems to be the most commonly affected by congenital malformations. Antenatal scans remain an important diagnostic tool in screening for congenital anomalies. A good clinical examination at birth could help in early detection of life threatening congenital malformation thereby improving chances of his or her survival.


References

World Health organization. Section on Congenital anomalies. Available at http:/www.who.int/mediacentre/factsheets/fs370/en/Accessed October 2012.

National health Portal of India. Fact sheet: Section on congenital anomalies Available at https://www.nhp.gov.in/disease/gynaecology-and-obstetrics/congenital-anomalies-birth-defects.

Accessed 17 June ,2016.

Grover N. Congenital malformations in Shimla. Indian J Pediatr.2000:67;249-51.

Hudgins L, Cassidy SB. Congenital anomalies. In: Martin RJ, Fanaroff AA, Walsh MC, eds. Neonatal- Perinatal Medicine. 8th ed. Philadelphia: Mosby-Elsievier;2006:561-581.

Singh A, Gupta RK. Pattern of congenital anomalies in new - borns: a hospital based prospective study. J K Sci. 2009;1:34-6.

Basavanthappa SP, Pejaver R, Srinivasa V, Raghavendra K, Suresh Babu MT. Spectrum of congenital malformations in newborns: in a medical college hospital in South India. Int J Adv Med 2014;1:82-5.

Desai NA. Congenital Anomalies: a prospective study at a teaching hospital. Indian J Pediatr.1999;94:413-9.

Doddabasappa PN ,Adarsh E, Divya N. Prevalence of congenital anomalies: a hospital- based study. Int J Contemp Pediatr. 2018 Jan;5(1):119-23.

Vyas R , Verma S, Malu V. Distribution of congenital malformations at birth in a tertiary hospital in North- Western Rajasthan. Int J Reprod Contracept Obstet Gynecol. 2016 Dec;5(12):4281-4.

Gandhi MK, Chaudhari U, Thakor N. Incidence and distribution of congenital malformations clinically detected at birth: a prospective study at a tertiary care hospital. Int J Res Med Sci 2016 Apr;4(4):1136-9.

Tenali ASL, Kamlakannan S, Jayaraman K. Spectrum of congenital anomalies of neonates in a tertiary care hospital in Southern India. Int J Contemp Pediatr. 2018 Mar;5(2):314-9.

Bhat BV, Babu L. Congenital malformations at birth: a prospective study from South India. Indian J Pediatr.1998;65:873-81.

Verma M, Chhatwal J, Singh D. Congenital malformations: a retrospective study of 10000 cases. Indian J Pediatr. 1991;58(2);245-52.

Datta V, Chaturvedi P. Congenital malformations in rural Maharashtra. Indian Pediatr. 2000;37:998-1001.

Khanna MP, Prasad LS. Congenital malformations in the newborn. Indian J Paediatr.1967;230:63-71.

Taksande A, Vilhekar K, Chaturvedi P, Jain M. Congenital malformation at birth in central India, Indian J Hum Genetics. 2010;16:159-63.

Anand JS, Javadekar BB, Mala B. Congenital malformations in 2000 consecutive births. Indian Pediatr. 1998:25:845-51.

Swain S, Agarwal A, Bhatia BD. Congenital malformations at birth. Indian Paediatr. 1994;31:1187-91.

Ajay K, Kalra K, Sharma V, Singh M. Congenital malformations. Indian Paediatr.1984;21:945-9.

Charlotte TN, Aurore ND, Charlotte B, Esther B, Eugene BP. Prenatal diagnosis of congenital malformations in Douala General Hospital. Open J Obstet Gynecol. 2015;5(15):839.

Sarkar S, Patra C, Dasgupta MK, Nayek K, Karmarkar PR. Prevalence of congenital anomalies in neonates and associated risk factors in a tertiary care hospital in Eastern India. J Clin Neonatol. 2013;2(3):131.

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Published

2019-08-23

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Original Research Articles