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PREVALENCE AND PATTERN OF STRUCTURAL CONGENITAL ANOMALIES AMONG NEONATES DELIVERED AT TERTIARY CARE HOSPITAL

Dr. Muhammad Anwar, Dr. Asif Javeed,Dr. Haniya Talib

Objective: To determine the prevalence and pattern of structural congenital anomalies among neonates delivered at tertiary care hospital. Material and methods: This retrospective observational was conducted at Department of neonatology, Civil Hospital, Bahawalpur and Bahawal Victoria Hospital, Bahawalpur from January 2018 to December 2018 over the period of 1 years. Total 10566 deliveries were performed during study period and 138 neonates were found with congenital anomalies. Pattern of congenital anomalies was analyzed in selected neonates. Results: The number of case records analyzed was 10566, out of which 138 neonates were reported to have structural congenital anomalies; the prevalence was 1.3%. Mean age of the mothers of neonates was 23.66 ± 2.63 years. Male neonates were 74 (54%) and female neonates were 64 (46%). Congenital heart disease formed a major portion of congenital anomalies identified constituting 61 (44.20%). The most common extra cardiac congenital anomalies noted was cleft lip/cleft palate 15 (10.87%) followed by single umbilical artery which was noted in 8 (5.8%) and Imperforate anus in 7 (5.07%). Conclusion: Results of present study showed higher number of neonates with congenital anomalies. Most of the mothers belonged to 3rd decade. Higher number of mother were multiparas. Most of the neonates with congenital anomalies were male. Most common birth defect was congenital heart disease. Key words: Congenital anomalies, heart disease, neural tube defects

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