Sachdeva, SandeepNanda, SmitiBhalla, KapilSachdeva, Ruchi2015-07-012015-07-012014-01Sachdeva 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.http://imsear.searo.who.int/handle/123456789/158732A 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.enFolic acidHospitalNeural tube defectNutritionNatalUltrasoundWomenArticle