Frequency, Pattern of Distribution and Associated Risk Factors of Dismorphologic Congenital Anomalies in the Newborn in Damietta General Hospital (one year study)

Abstract

Objective: To assess the frequency and distribution and associated risk factors of dismorphologic congenital anomalies in live newborns and stillbirths in Damietta general hospital in a period of one year. Methodology: All newborns delivered with dysmorphologic congenital anomalies in Damietta general hospital during the above mentioned period were included, the study also included fifty (equal to number of cases) age matched healthy children serving as control subjects, A detailed history for any expected risk factor was taken, General medical examination for general condition, body built, vital signs, any apparent dysmorphologic congenital anomalies, then systemic examination and some investigations when needed. Results: The number of babies born with dysmorphologic congenital anomalies in Damietta general hospital during the period from 1/June/ 2015 till 30 May 2016 was 50 cases out of 1823 deliveries (1063 cesarean deliveries and 760 vaginal deliveries), this means that the prevalence rate was 2.7%. Tie tongue represented 28% of cases, polydactyl hand 6% of cases, and others represented 2% for each. Conclusion: There are several factors have an association with this ifrequency of congenital anomalies, which include: Parental Smoking (active paternal and passive maternal), frequent fish intake (2times and more / week), high tendency to legume intake, Canned foods