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2005, Number 2

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Rev Mex Pediatr 2005; 72 (2)

Objective. To know the frequency of congenital malformations in neonates born in a general hospital.

Vega VA, Vizzuett MR

Language: Spanish
References: 15
Page: 70-73
PDF size: 47.31 Kb.


ABSTRACT

Objective. To know the frequency of congenital malformations in neonates born in a general hospital.
Material and methods. In 2,234 neonates born in the hospital, in one year, 69 of them had congenital malformations. This defects were classified according to the approach suggested by Spranger-Opitz.
Results. Eighty six (91.5%) children had major malformations and 8 (8.5%) had minor malformations; the 69 children had a total of 94 defects. The incidence rate in the 2,234 births was 30.9 for thousand born alive. The biggest frequency of malformations happened in women in between 21 to 30 years age. The highest frequency of defects were in relation to cardiovascular disease (34%). Only 15 patients were identify by ultrasound.
Conclusions. Knowing this frequency of malformations in the hospital is now pertinent to improve the mother’s prenatal control, taking in account child in order to reduce the incidence of defects at birth.


REFERENCES

  1. Aase JM. Dysmorphic diagnosis for pediatric practitioner. Pediatr Clin North Am 1992; 39: 135-56.

  2. Normas de Neonatología. Instituto Nacional de Perinatología. México, 1999: 300-310.

  3. Figueroa LE, Cantú JM. El proceso de diagnóstico en el paciente dismórfico. Bol Med Hosp Infant Mex 1994; 51(1): 59-69.

  4. Jones KL. Trisomy 18 syndrome. Smith’s recognizable patterns of human malformation. 4th. Ed. Philadelphia, WB Saunders, 1988.

  5. Gardner RJM. Sutherland GR. Down syndrome, other full aneuploidies and poliploid. Chromosomal abnormalities and genetic couselling. Oxford University Press Inc. New York 1996: 252.

  6. Hook EB. Chromosome abnormalities: prevalence, risk an recurrence. Prenatal diagnosis and screening. Churchill Livingstone, Edinburg 1992: 351-92.

  7. Mironiuk M. A class of diabetic in mother, glycemic control in early pregnancy and occurrence of congenital malformations in newborn infants. Clin Exp Obstet Gynecol 1997; 24(4): 1993-7.

  8. Heinonen OP, Slone D, Shapiro S. Birth defects and drugs in pregnancy. Liylryon, MA, Publishing Science Groups, 1976.

  9. Spranger J, Opitz A. Errors of morphogenesis: concepts and terms. Recommendations of an international working group. J Pediatr 1982; 100(1): 160-5.

  10. Kessel J, Ward RM. Congenital malformations presenting during neonatal period. Clin Perinatol 1998; 25(2): 351-69.

  11. Moore KL. Embriología básica. Interamericana. 3a. edición. México. 119-38.

  12. Rasmussen SA. Risk for birth defects among premature infants: a population based study. J Pediatr 2001; 138(5): 668-73.

  13. Hernanz J, Shulman M. Imaging of neonatal gastrointestinal obstruction. Radiol Clin North Am 1999; 37(6): 163-86, VI-VII.

  14. Ott WJ. Obstetric ultrasonographic finding and fetal chromosomal abnormalities: refining the association. Am J Obstet Gynecol 2001; 184(7): 1422-5.

  15. Kalter HW. Congenital malformation, etiologic factor and their role in prevention. N Engl J Med 1983; 308: 424.




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