“Overcoming the Defect”: A Perinatal Review of Congenital Anomalies in 6984 Consecutive Deliveries in a Tertiary Center in Western Nepal
Introduction: Neonatal congenital anomalies are the 17th cause of global disease burden and are a traumatizing experience to a mother. Congenital anomalies in low income countries are high. This study was done with the aim to find various antenatal risk factors and the delays in health seeking behav...
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| Format: | Article |
| Language: | English |
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Lumbini Medical College
2020-06-01
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| Series: | Journal of Lumbini Medical College |
| Subjects: | |
| Online Access: | https://jlmc.edu.np/index.php/JLMC/article/view/317 |
| _version_ | 1818060112443473920 |
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| author | Shreyashi Aryal Deepak Shrestha |
| author_facet | Shreyashi Aryal Deepak Shrestha |
| author_sort | Shreyashi Aryal |
| collection | DOAJ |
| description | Introduction: Neonatal congenital anomalies are the 17th cause of global disease burden and are a traumatizing experience to a mother. Congenital anomalies in low income countries are high. This study was done with the aim to find various antenatal risk factors and the delays in health seeking behaviors in cases of still births with birth defects.
Methods: This is a retrospective study in which records of mothers and neonates born with congenital anomalies during the period of thirty months were reviewed and antenatal risk factors noted. In cases of stillborns with anomalies, the three delays leading to morbidities namely, delay in seeking care, reaching care and receiving care were also noted.
Results: There were 65 congenital anomalies out of 6984 deliveries, with an incidence of 9.3 per 1000 births. Out of all anomalies, 43 were live and 22 were still births. Commonest anomaly amongst live births was of musculoskeletal system 11(25.5%) and amongst still births was of nervous system 10 (45.4%). Consanguineous marriage was present in 30 (46.1%) parents and folic acid was taken by only 26(40%) of the mothers. In cases of still births, delay in deciding to seek care was observed in most cases 14(63.6%).
Conclusions: Birth defects are common in this part of the country. Factors like consanguinity and intake of folic acid are modifiable factors which can be useful in preventing congenital anomalies. Encouraging early antenatal visits will provide an opportunity for timely diagnosis and counseling and will help minimize traumatizing exprience to the family. |
| first_indexed | 2024-12-10T13:27:14Z |
| format | Article |
| id | doaj.art-c0b12c98971649e689f17b5454384238 |
| institution | Directory Open Access Journal |
| issn | 2392-4632 2542-2618 |
| language | English |
| last_indexed | 2024-12-10T13:27:14Z |
| publishDate | 2020-06-01 |
| publisher | Lumbini Medical College |
| record_format | Article |
| series | Journal of Lumbini Medical College |
| spelling | doaj.art-c0b12c98971649e689f17b54543842382022-12-22T01:47:09ZengLumbini Medical CollegeJournal of Lumbini Medical College2392-46322542-26182020-06-018110.22502/jlmc.v8i1.317“Overcoming the Defect”: A Perinatal Review of Congenital Anomalies in 6984 Consecutive Deliveries in a Tertiary Center in Western NepalShreyashi Aryal0Deepak Shrestha1Lumbini Medical College and Teaching HospitalLumbini Medical College and Teaching HospitalIntroduction: Neonatal congenital anomalies are the 17th cause of global disease burden and are a traumatizing experience to a mother. Congenital anomalies in low income countries are high. This study was done with the aim to find various antenatal risk factors and the delays in health seeking behaviors in cases of still births with birth defects. Methods: This is a retrospective study in which records of mothers and neonates born with congenital anomalies during the period of thirty months were reviewed and antenatal risk factors noted. In cases of stillborns with anomalies, the three delays leading to morbidities namely, delay in seeking care, reaching care and receiving care were also noted. Results: There were 65 congenital anomalies out of 6984 deliveries, with an incidence of 9.3 per 1000 births. Out of all anomalies, 43 were live and 22 were still births. Commonest anomaly amongst live births was of musculoskeletal system 11(25.5%) and amongst still births was of nervous system 10 (45.4%). Consanguineous marriage was present in 30 (46.1%) parents and folic acid was taken by only 26(40%) of the mothers. In cases of still births, delay in deciding to seek care was observed in most cases 14(63.6%). Conclusions: Birth defects are common in this part of the country. Factors like consanguinity and intake of folic acid are modifiable factors which can be useful in preventing congenital anomalies. Encouraging early antenatal visits will provide an opportunity for timely diagnosis and counseling and will help minimize traumatizing exprience to the family.https://jlmc.edu.np/index.php/JLMC/article/view/317birth defect, folic acid, risk factors, still birth, |
| spellingShingle | Shreyashi Aryal Deepak Shrestha “Overcoming the Defect”: A Perinatal Review of Congenital Anomalies in 6984 Consecutive Deliveries in a Tertiary Center in Western Nepal Journal of Lumbini Medical College birth defect, folic acid, risk factors, still birth, |
| title | “Overcoming the Defect”: A Perinatal Review of Congenital Anomalies in 6984 Consecutive Deliveries in a Tertiary Center in Western Nepal |
| title_full | “Overcoming the Defect”: A Perinatal Review of Congenital Anomalies in 6984 Consecutive Deliveries in a Tertiary Center in Western Nepal |
| title_fullStr | “Overcoming the Defect”: A Perinatal Review of Congenital Anomalies in 6984 Consecutive Deliveries in a Tertiary Center in Western Nepal |
| title_full_unstemmed | “Overcoming the Defect”: A Perinatal Review of Congenital Anomalies in 6984 Consecutive Deliveries in a Tertiary Center in Western Nepal |
| title_short | “Overcoming the Defect”: A Perinatal Review of Congenital Anomalies in 6984 Consecutive Deliveries in a Tertiary Center in Western Nepal |
| title_sort | overcoming the defect a perinatal review of congenital anomalies in 6984 consecutive deliveries in a tertiary center in western nepal |
| topic | birth defect, folic acid, risk factors, still birth, |
| url | https://jlmc.edu.np/index.php/JLMC/article/view/317 |
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