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2016, Number 2

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Rev Clin Esc Med 2016; 6 (2)

Frecuencia de malformaciones congénitas detectadas en la Sección de Gineco-obstetricia y Neonatología del Hospital San Juan de Dios durante el periodo comprendido entre enero a diciembre del año 2014

Zambrano GAC, Bustillos VJ, Parra RP, Saborío LV, Calderón SE, Mora SJA
Full text How to cite this article

Language: Spanish
References: 17
Page: 28-42
PDF size: 771.30 Kb.


Key words:

Fetus, Malformations, Heart disease, Central nervous system, Genitourinary.

ABSTRACT

Review of the recorded cases of fetal malformations during 2014 gives us a perspective of what types of dysmorphisms we are detecting in our environment and their frequency. This is a descriptive study on a retrospective at the San Juan de Dios Hospital, San José, Costa Rica, with a total of 54 live births during the period from January to December 2014, to which were diagnosed at certain birth defect congenital, single or multiple, and were born either by vaginal delivery or caesarean section. The criteria for inclusion are products that were born with one or more birth defects during the period January to December 2014, in the San Juan de Dios Hospital. Patients who did not have complete data on the notification card of the Hospital San Juan de Dios were excluded. They were reported in the period 5004 births, of which 4960 were born alive, and of these 54 had congenital malformations. Congenital malformations were classified by system, it resulted that the central nervous system were the ones with highest incidence, 14 cases representing the 22.9%, followed by the genitourinary system and skeletal muscle with 10 cases, representing the 16.3% respectively. 9 cases of gastrointestinal system, representing the 14.7%, 9 cases were presented within the syndromes, being Down syndrome the one with highest incidence (trisomy 21), 6 cases also presented Edward syndrome and Patau Peters Plus, the ones with lowest incidence of all were cardiovascular malformations, with 5 cases, (8.1%), craniofacial in 3 patients (4.9%), and 1 case respiratory system. In our study, the incidence of congenital malformations in 2014 was 1.7%, being central nervous system malformations the most frequent, followed by musculoskeletal and genitourinary. The cardiovascular system represented a low incidence pf 8.1% and the largest area of origin of mothers with products with congenital malformations was Santa Ana, located in the province of San José.


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Rev Clin Esc Med. 2016;6