Islam M N, Iddika M S, Mk J Bhuiyan, Chowdhury A M.
Pattern of congenital anomalies in newborns in a tertiary level hospital in bangladesh.
J Surg Pak Jan ;18(1):32-6.

Objective: To find out frequency of various congenital malformations in neonates in a tertiary care hospital. Study design: Descriptive study. Place & Duration of study: Department of Neonatology, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh from April 2011 to March 2012. Methodology: A total 6040 babies were studied in the neonatal period immediately after admission and all cases with congenital anomalies were enrolled. A detailed history for any risk factor was taken. A thorough physical examination was performed. Confirmation of internal defect was done by various imaging modalities; i.e., radiography, ultrasound, echocardiography and CT scan. A detailed history was taken regarding maternal age, gestational age, and previous history of delivery of abnormal baby. Results: A total of 106 neonates had one or more congenital anomalies accounting to a frequency of 1.75% malformation. The number of congenital anomalies were more in males (M:F=1.2:1) and in neonates of young and elderly mothers. The pattern of congenital anomalies related to head and neck, chest and gastrointestinal tract (20.75%), nervous system (19.81%), cardiovascular system (18.87%), musculoskeletal system (12.26%), genitourinary system (11.32%), chromosomal abnormalities (6.6%) and others (10.37%). Conclusions: Overall frequency of congenital anomalies remained low. Most frequent anomalies were related to nervous system and cardiovascular system.

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