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Frequency, Pattern, and Mortality Due to Congenital Anomalies in Ramadi Teaching Hospital for Maternity and Children in Iraq
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R Fahmi Shitran *    , S M. Ali |
| 1.Department of Pediatrics, College of Science, University of Anbar, Ramadi, Iraq. , rana.fahmi@uoanbar.edu.iq |
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Abstract: (226 Views) |
Background and Objective: Recognizing the prevalence of congenital malformations is essential for tracking the progress and enhancing neonatal healthcare. Our purpose is to estimate the prevalence, pattern and fate of neonates born with congenital anomalies.
Methods: This cross-sectional study was conducted at Ramadi Teaching Hospital for maternity and children from the 1st of January 2024 until the 1st of May 2024. Data were collected in a researcher-made checklist which included the gender of the baby, maternal history of previously affected child, gravida, parity and abortions, prenatal history of folic acid use or radiation exposure. Type of anomaly and the fate of the baby after follow up in the neonatal care unit whether died or discharged in good health was recorded. All live neonates admitted to neonatal care unit and born at Ramadi hospital were included. Diagnosis of anomalies was done by precise examination and performing appropriate investigation according to the findings (Ultrasound of abdomen or brain, Echo study of heart, chromosomal study, brain imaging and X ray for chest or whole body).
Findings: Total admission to neonatal care unit was 1094, 7.8% of which had congenital anomalies. The most common anomalies occur in cardiovascular system (63 (74.1%)) followed by musculoskeletal system (23 (27.1%)) and then chromosomal anomalies (12 (14.1%)). Those with anomalies who died were 22 (25.9%) while 63 (74.1%) where still alive during the neonatal period. Mortality was significantly associated with low birth weight (p=0.009) and those with cardiovascular and central nervous system defects (p=0.015, p=0.018), respectively.
Conclusion: The results of the present study showed that congenital heart defects had the highest prevalence and the cardiovascular system was most affected of all organs. |
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| Keywords: Birth Defects, Congenital Anomalies, Cardiovascular Anomalies, Neurological Anomalies Prevalence, Ramadi City, Iraq. |
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Type of Study: Research |
Subject:
Children
Received: 2024/11/6 | Accepted: 2024/12/28
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