Gross Congenital Malformation at Birth in a Government Hospital.
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Date
2014-01
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Abstract
A hospital-based cross-sectional study was undertaken to determine proportion of gross congenital malformation
(GCMF) occurring at intramural births. Rate of GCMF was found to be 16.4/1000 consecutive singleton births (>28
weeks) with three leading malformation as anencephaly (44.68%), talipes equinovarus (17.02%) and meningomyelocele
(10.63%). Higher risk of malformed births were noticed amongst un-booked (2.07%) in-comparison to booked (1.01%)
mothers; women with low level of education (up to 8 years [2.14%] vs. at least 9 years of schooling [0.82%]); gravida
status of at least 3 (2.69%) followed by 1 (1.43%) and 2 (1.0%) respectively; pre-term (5.13%) vs. term (0.66%);
cesarean section (4.36%) versus vaginal delivery (0.62%). Mortality was signifi cantly higher among congenitally
malformed (17.35%) than normal (0.34%) newborns. With-in study limitation, emergence of neural tube defect as the
single largest category of congenital malformation indicates maternal malnutrition (especially folic acid) that needs
appropriate attention and management.
Description
Keywords
Folic acid, Hospital, Neural tube defect, Nutrition, Natal, Ultrasound, Women
Citation
Sachdeva Sandeep, Nanda Smiti, Bhalla Kapil, Sachdeva Ruchi. Gross Congenital Malformation at Birth in a Government Hospital. Indian Journal of Public Health. 2014 Jan-Mar; 58(1): 54-56.