Research article

SPECTRUM OF CONGENITAL ANOMALIES AT A TERTIARY CARE CENTRE

Dr. Prabhuswami Hiremath1, Dr. R P Patange2, Prof. DR. J A Salunkhe3 Mrs. Lekshmi Sudhish Nair4

Online First: December 10, 2022


Background: Indian Population is at moderate risk for congenital malformations as evident by universality of marriage, high fertility, large number of unplanned pregnancies, poor coverage of antenatal care, poor maternal nutritional status, high consanguineous marriages rate, and high carrier rate for hemoglobinopathies. Material and method: The data was collected from September 2016 to august 2017. All the babies born in this hospital during this period were included. The newborns were examined for the presence of congenital anomalies and mothers were interviewed for socio-demographic variables. Results: Prevalence is being maximum in the Neonatal Intensive Care Unit 41 (5.3%), followed by Pediatric Ward 14 (0.3%) and pediatric Outpatient Department 45 (1%). maximum Congenital malformations were belongs to the nervous system 63(22%), circulatory system 57 (20%) and deformations of the musculoskeletal system 47 (17%). Other deformities includes Cleft lip and cleft palate 29 (10%), other congenital malformations of the digestive system 23 (8%), Congenital malformations of genital organs 19 (7%), Congenital malformations of the urinary system 21 (7%), other congenital malformations 2 (1%), Chromosomal abnormalities, not elsewhere classified 15 (5%) Congenital malformations of the respiratory system 5 (2%), Congenital malformations of eye, ear, face and neck 2 (1%). Conclusion: Nurses must know the common types of stressors that are most relevant to women during pregnancy with their socio-cultural aspects so that she consider those issues while giving care, counseling and health education. Preparation of international nursing standards for caring mothers’ psychological aspect is required. Development of nursing theories helps in guiding the students to approach in an effective patient care and management. Undertaking cross sectional study limits the effect of poor psychological well-being on pregnancy outcome but longitudinal study yield more depth knowledge.

Keywords

Prevalence, congenital malformation, tertiary care centre