Pattern of congenital anomalies at birth and their correlations with maternal characteristics in the maternity teaching hospital, Erbil city, Iraq
Abstract Background Congenital anomalies are a worldwide problem, causing perinatal and infant deaths and postnatal physical disabilities. This study aimed to determine the pattern and associated factors of the congenital anomalies in newborns delivered at the Maternity Teaching Hospital, Erbil city...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2018-12-01
|
Series: | BMC Pregnancy and Childbirth |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s12884-018-2141-2 |
_version_ | 1818928712242954240 |
---|---|
author | Sozan K. Ameen Shahla Kareem Alalaf Nazar P. Shabila |
author_facet | Sozan K. Ameen Shahla Kareem Alalaf Nazar P. Shabila |
author_sort | Sozan K. Ameen |
collection | DOAJ |
description | Abstract Background Congenital anomalies are a worldwide problem, causing perinatal and infant deaths and postnatal physical disabilities. This study aimed to determine the pattern and associated factors of the congenital anomalies in newborns delivered at the Maternity Teaching Hospital, Erbil city. Methods All the births occurring in the labor room of the Maternity Teaching Hospital in Erbil city, Kurdistan region, Iraq between 1st April 2015 and the end of March 2016 were recorded. All babies with congenital anomalies were identified. The rate and common types of congenital anomalies were estimated. A case-control study was conducted involving all women who had babies with congenital anomalies and the same number whose babies had no congenital anomalies. Data were collected using a structured questionnaire. Results Of the 35,803 recorded births in the Maternity Teaching Hospital, Erbil, 130 women delivered babies with at least one congenital anomaly, giving a rate of 3.63/1000 deliveries. The most common area for anomalies was the central nervous system (37.7%) followed by the musculoskeletal (23.1%) and gastrointestinal systems (20.8%). There was a statistically significant association between having a child with congenital anomalies and a maternal history of previous congenital anomalies (odds ratio [OR] 59.0, 95% CI 5.74–607.0), parental consanguinity (OR 6.26, 95% CI 2.42–16.19), and history of medical disorders (OR 153.2, 95% CI 25.9–905.4). Maternal occupation and smoking did not have any influence to develop congenital anomalies (OR 0.69, 95% CI 0.12–3.97 and OR 1.22,95% CI 0.19–7.93). Conclusion Anomalies were most likely to be in the central nervous system. Maternal history of previous congenital anomalies, parental consanguinity, and history of medical disorders were the most important factors associated with congenital anomalies. This study provides baseline information for future prevention and better management of patients likely to have babies with congenital anomalies. More research is required to identify the factors responsible for the different types of congenital anomalies. |
first_indexed | 2024-12-20T03:33:16Z |
format | Article |
id | doaj.art-feebf77bd4e9455a934d225687949f9d |
institution | Directory Open Access Journal |
issn | 1471-2393 |
language | English |
last_indexed | 2024-12-20T03:33:16Z |
publishDate | 2018-12-01 |
publisher | BMC |
record_format | Article |
series | BMC Pregnancy and Childbirth |
spelling | doaj.art-feebf77bd4e9455a934d225687949f9d2022-12-21T19:54:57ZengBMCBMC Pregnancy and Childbirth1471-23932018-12-011811810.1186/s12884-018-2141-2Pattern of congenital anomalies at birth and their correlations with maternal characteristics in the maternity teaching hospital, Erbil city, IraqSozan K. Ameen0Shahla Kareem Alalaf1Nazar P. Shabila2Maternity Teaching HospitalDepartment of Obstetrics and Gynecology, College of Medicine, Hawler Medical UniversityDepartment of Community Medicine, College of Medicine, Hawler Medical UniversityAbstract Background Congenital anomalies are a worldwide problem, causing perinatal and infant deaths and postnatal physical disabilities. This study aimed to determine the pattern and associated factors of the congenital anomalies in newborns delivered at the Maternity Teaching Hospital, Erbil city. Methods All the births occurring in the labor room of the Maternity Teaching Hospital in Erbil city, Kurdistan region, Iraq between 1st April 2015 and the end of March 2016 were recorded. All babies with congenital anomalies were identified. The rate and common types of congenital anomalies were estimated. A case-control study was conducted involving all women who had babies with congenital anomalies and the same number whose babies had no congenital anomalies. Data were collected using a structured questionnaire. Results Of the 35,803 recorded births in the Maternity Teaching Hospital, Erbil, 130 women delivered babies with at least one congenital anomaly, giving a rate of 3.63/1000 deliveries. The most common area for anomalies was the central nervous system (37.7%) followed by the musculoskeletal (23.1%) and gastrointestinal systems (20.8%). There was a statistically significant association between having a child with congenital anomalies and a maternal history of previous congenital anomalies (odds ratio [OR] 59.0, 95% CI 5.74–607.0), parental consanguinity (OR 6.26, 95% CI 2.42–16.19), and history of medical disorders (OR 153.2, 95% CI 25.9–905.4). Maternal occupation and smoking did not have any influence to develop congenital anomalies (OR 0.69, 95% CI 0.12–3.97 and OR 1.22,95% CI 0.19–7.93). Conclusion Anomalies were most likely to be in the central nervous system. Maternal history of previous congenital anomalies, parental consanguinity, and history of medical disorders were the most important factors associated with congenital anomalies. This study provides baseline information for future prevention and better management of patients likely to have babies with congenital anomalies. More research is required to identify the factors responsible for the different types of congenital anomalies.http://link.springer.com/article/10.1186/s12884-018-2141-2Congenital anomaliesNeonatePatternAssociated factors |
spellingShingle | Sozan K. Ameen Shahla Kareem Alalaf Nazar P. Shabila Pattern of congenital anomalies at birth and their correlations with maternal characteristics in the maternity teaching hospital, Erbil city, Iraq BMC Pregnancy and Childbirth Congenital anomalies Neonate Pattern Associated factors |
title | Pattern of congenital anomalies at birth and their correlations with maternal characteristics in the maternity teaching hospital, Erbil city, Iraq |
title_full | Pattern of congenital anomalies at birth and their correlations with maternal characteristics in the maternity teaching hospital, Erbil city, Iraq |
title_fullStr | Pattern of congenital anomalies at birth and their correlations with maternal characteristics in the maternity teaching hospital, Erbil city, Iraq |
title_full_unstemmed | Pattern of congenital anomalies at birth and their correlations with maternal characteristics in the maternity teaching hospital, Erbil city, Iraq |
title_short | Pattern of congenital anomalies at birth and their correlations with maternal characteristics in the maternity teaching hospital, Erbil city, Iraq |
title_sort | pattern of congenital anomalies at birth and their correlations with maternal characteristics in the maternity teaching hospital erbil city iraq |
topic | Congenital anomalies Neonate Pattern Associated factors |
url | http://link.springer.com/article/10.1186/s12884-018-2141-2 |
work_keys_str_mv | AT sozankameen patternofcongenitalanomaliesatbirthandtheircorrelationswithmaternalcharacteristicsinthematernityteachinghospitalerbilcityiraq AT shahlakareemalalaf patternofcongenitalanomaliesatbirthandtheircorrelationswithmaternalcharacteristicsinthematernityteachinghospitalerbilcityiraq AT nazarpshabila patternofcongenitalanomaliesatbirthandtheircorrelationswithmaternalcharacteristicsinthematernityteachinghospitalerbilcityiraq |