2017, Number 6
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Acta Pediatr Mex 2017; 38 (6)
Prevalence of congenital malformations detected at birth in a second level hospital
Calderón-Alvarado AB, Rojas-Villegas MS, Dehesa-López E
Language: Spanish
References: 12
Page: 363-370
PDF size: 543.57 Kb.
ABSTRACT
Introduction: The prevalence of congenital malformations (CM)
detected at birth ranges between 2 and 5.5 live births, with significant
variation, depending on the characteristics of the population and the
study methodology.
Objective: To determine the prevalence and type of CM in newborns
attended by the neonatology service in a period of one year.
Methods: Cross-sectional study. Clinical records of all live births
attended in the neonatology service of our hospital during 2015 were
reviewed. Neonates that were detected with morphological alterations
at birth and/or before his discharge referred at the clinical record,
were included.
Results: We detected 117 congenital malformations in 98 neonates,
from a total of 4,097 newborns studied, resulting in a prevalence of
2.39% in the analysis per individual and 2.85% when taking into
account all malformations. The most commonly affected systems
were: genitourinary (29.1%), osteomuscular (21.4%) and circulatory
(16.2%). The most frequent CM were cryptorchidism (14.5%), hypospadias
(12.8%) andankyloglossia (10.3%).
Conclusion: The prevalence rate of CM was 23.9 per 1,000 live
newborns, which coincides with the reported in the rest of the world,
being the genitourinary system the most affected one and the cryptorchidism
the most frequent CM in our population.
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