Epidemiology of congenital abnormalities in West Africa: Results of a descriptive study in teaching hospitals in Abidjan: Cote d′Ivoire
Background: Congenital abnormalities constitute one of the major causes of infant mortality, particularly in developing countries. The aim of this study was to describe the epidemiology of congenital anomalies in Cote d′Ivoire. Materials and Methods: It was a multicentric study of three academic hos...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | African Journal of Paediatric Surgery |
| Subjects: | |
| Online Access: | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2015;volume=12;issue=1;spage=51;epage=55;aulast=Kouame |
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| author | Bertin Dibi Kouame Isabelle Ama N′guetta-Brou Guy Serge Yapo Kouame Moufidath Sounkere Maxime Koffi Jean Baptiste Yaokreh Thierry Odehouri-Koudou Samba Tembely Gaudens Atafi Dieth Ossenou Ouattara Ruffin Dick |
| author_facet | Bertin Dibi Kouame Isabelle Ama N′guetta-Brou Guy Serge Yapo Kouame Moufidath Sounkere Maxime Koffi Jean Baptiste Yaokreh Thierry Odehouri-Koudou Samba Tembely Gaudens Atafi Dieth Ossenou Ouattara Ruffin Dick |
| author_sort | Bertin Dibi Kouame |
| collection | DOAJ |
| description | Background: Congenital abnormalities constitute one of the major causes of infant mortality, particularly in developing countries. The aim of this study was to describe the epidemiology of congenital anomalies in Cote d′Ivoire. Materials and Methods: It was a multicentric study of three academic hospitals and the Heart Institute of Abidjan over 10 years. The epidemiologic Data concerned the Parturients, the annual frequency of congenital abnormalities. Distribution of the congenital abnormalities according to the organs, overall mortality and lethality of congenital abnormalities were evaluated. Results: Over 10 years, 1.632 newborns with 1.725 congenital anomalies were recorded. Frequency was 172.5 congenital anomalies per annum. Parturients were less than 35 years in 33% of cases, multigravida in 20%, multiparous in 18% and had a low socio economic status in 96% of cases. Prenatal diagnosis of congenital anomalies was performed in 1.5%. Congenital anomalies were orthopedic in 34%, neurological in 17%, gastrointestinal in 15%, facial in 11.5%, parietal in 13%, urogenital in 9% and cardiac in 0.5% of cases. The overall mortality rate of congenital anomalies was 52% and gastroschisis was the most lethal disease with 100% mortality. Conclusion: This descriptive study reveals the low socio economic status of Parturients with congenital anomalies and their poor prenatal diagnosis. These factors explain the very high mortality of congenital anomalies due to a delay management in our country in which medical expenses were borne by parents and where technical platforms remain obsoletes for good resuscitation and neonatal surgery. |
| first_indexed | 2024-12-13T05:47:54Z |
| format | Article |
| id | doaj.art-e478f8e5f575455ebc91d723a05f0728 |
| institution | Directory Open Access Journal |
| issn | 0189-6725 0974-5998 |
| language | English |
| last_indexed | 2024-12-13T05:47:54Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | African Journal of Paediatric Surgery |
| spelling | doaj.art-e478f8e5f575455ebc91d723a05f07282022-12-21T23:57:38ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67250974-59982015-01-01121515510.4103/0189-6725.150983Epidemiology of congenital abnormalities in West Africa: Results of a descriptive study in teaching hospitals in Abidjan: Cote d′IvoireBertin Dibi KouameIsabelle Ama N′guetta-BrouGuy Serge Yapo KouameMoufidath SounkereMaxime KoffiJean Baptiste YaokrehThierry Odehouri-KoudouSamba TembelyGaudens Atafi DiethOssenou OuattaraRuffin DickBackground: Congenital abnormalities constitute one of the major causes of infant mortality, particularly in developing countries. The aim of this study was to describe the epidemiology of congenital anomalies in Cote d′Ivoire. Materials and Methods: It was a multicentric study of three academic hospitals and the Heart Institute of Abidjan over 10 years. The epidemiologic Data concerned the Parturients, the annual frequency of congenital abnormalities. Distribution of the congenital abnormalities according to the organs, overall mortality and lethality of congenital abnormalities were evaluated. Results: Over 10 years, 1.632 newborns with 1.725 congenital anomalies were recorded. Frequency was 172.5 congenital anomalies per annum. Parturients were less than 35 years in 33% of cases, multigravida in 20%, multiparous in 18% and had a low socio economic status in 96% of cases. Prenatal diagnosis of congenital anomalies was performed in 1.5%. Congenital anomalies were orthopedic in 34%, neurological in 17%, gastrointestinal in 15%, facial in 11.5%, parietal in 13%, urogenital in 9% and cardiac in 0.5% of cases. The overall mortality rate of congenital anomalies was 52% and gastroschisis was the most lethal disease with 100% mortality. Conclusion: This descriptive study reveals the low socio economic status of Parturients with congenital anomalies and their poor prenatal diagnosis. These factors explain the very high mortality of congenital anomalies due to a delay management in our country in which medical expenses were borne by parents and where technical platforms remain obsoletes for good resuscitation and neonatal surgery.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2015;volume=12;issue=1;spage=51;epage=55;aulast=KouameCongenital abnormalitiesepidemiologymortalitynewborn |
| spellingShingle | Bertin Dibi Kouame Isabelle Ama N′guetta-Brou Guy Serge Yapo Kouame Moufidath Sounkere Maxime Koffi Jean Baptiste Yaokreh Thierry Odehouri-Koudou Samba Tembely Gaudens Atafi Dieth Ossenou Ouattara Ruffin Dick Epidemiology of congenital abnormalities in West Africa: Results of a descriptive study in teaching hospitals in Abidjan: Cote d′Ivoire African Journal of Paediatric Surgery Congenital abnormalities epidemiology mortality newborn |
| title | Epidemiology of congenital abnormalities in West Africa: Results of a descriptive study in teaching hospitals in Abidjan: Cote d′Ivoire |
| title_full | Epidemiology of congenital abnormalities in West Africa: Results of a descriptive study in teaching hospitals in Abidjan: Cote d′Ivoire |
| title_fullStr | Epidemiology of congenital abnormalities in West Africa: Results of a descriptive study in teaching hospitals in Abidjan: Cote d′Ivoire |
| title_full_unstemmed | Epidemiology of congenital abnormalities in West Africa: Results of a descriptive study in teaching hospitals in Abidjan: Cote d′Ivoire |
| title_short | Epidemiology of congenital abnormalities in West Africa: Results of a descriptive study in teaching hospitals in Abidjan: Cote d′Ivoire |
| title_sort | epidemiology of congenital abnormalities in west africa results of a descriptive study in teaching hospitals in abidjan cote d ivoire |
| topic | Congenital abnormalities epidemiology mortality newborn |
| url | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2015;volume=12;issue=1;spage=51;epage=55;aulast=Kouame |
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