Gross Congenital Malformation at Birth in a Government Hospital

Indian J Public Health 2014;58:54-6, January-March 2014

3 Pages Posted: 27 Mar 2018

See all articles by Sandeep Sachdeva

Sandeep Sachdeva

Independent

Smiti Nanda

Pandit Bhagwat Dayal Sharma University of Health Sciences - Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS)

Kapil Bhalla

Pandit Bhagwat Dayal Sharma University of Health Sciences - Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS)

Ruchi Sachdeva

Pandit Bhagwat Dayal Sharma University of Health Sciences - Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS)

Date Written: January 16, 2016

Abstract

A hospital-based cross-sectional study was undertaken to determine proportion of gross congenital malformation (GCMF) occurring at intramural births in a government hospital of India. Rate of GCMF was found to be 16.4/1000 consecutive singleton births (>28 weeks) with three leading malformation as anencephaly (44.68%), talipes equinovarus (17.02%) and meningomyelocele (10.63%). Higher risk of malformed births were noticed amongst un-booked (2.07%) in-comparison to booked (1.01%) mothers; women with low level of education (up to 8 years [2.14%] vs. at least 9 years of schooling [0.82%]); gravida status of at least 3 (2.69%) followed by 1 (1.43%) and 2 (1.0%) respectively; pre-term (5.13%) vs. term (0.66%); cesarean section (4.36%) versus vaginal delivery (0.62%). Mortality was significantly higher among congenitally malformed (17.35%) than normal (0.34%) newborns. Malformation was found to be slightly higher in females, giving an overall female: male ratio of 1.35:1 (P>0.05). With-in study limitation, emergence of neural tube defect as the single largest category of congenital malformation indicates maternal malnutrition (especially folic acid) that needs appropriate attention and management.

Keywords: Folic acid, Hospital, Neural tube defect, Nutrition, Natal, Ultrasound, Women, high risk mothers, abortion, neo natal mortality, birth

Suggested Citation

Sachdeva, Sandeep and Nanda, Smiti and Bhalla, Kapil and Sachdeva, Ruchi, Gross Congenital Malformation at Birth in a Government Hospital (January 16, 2016). Indian J Public Health 2014;58:54-6, January-March 2014, Available at SSRN: https://ssrn.com/abstract=2716551

Smiti Nanda

Pandit Bhagwat Dayal Sharma University of Health Sciences - Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS)

Haryana, 124001
India

Kapil Bhalla

Pandit Bhagwat Dayal Sharma University of Health Sciences - Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS)

Haryana, 124001
India

Ruchi Sachdeva

Pandit Bhagwat Dayal Sharma University of Health Sciences - Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences (PGIMS) ( email )

Haryana, 124001
India

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