The pattern of Fetal Congenital Anomaly and Their Maternal Characteristics in High-Risk Pregnancy Unit of Dhaka Medical College Hospital, Bangladesh
Introduction: Congenital anomaly is one of the important causes of perinatal mortality and morbidity. Proper information regarding its prevalence, distribution, as well as risk factors, can help policymakers to take appropriate steps for prevention.
Methods: A hospital record-based observational study was done in the Obstetric department of Dhaka Medical College Hospital, Bangladesh during the year 2020. The study aims to evaluate the pattern of anomaly found in admitted patients in the Maternal-Fetal Medicine unit, along with the maternal demographic profile and associated diseases. After taking ethical clearance and permission from the department detailed information was collected and analysis was done.
Results: In the year 2020 total of 6012 deliveries occurred and 4.42% of them were anomalous babies. The maternal characteristics showed that mean maternal age was 26.24 ± 5.25 years. 20.7% of the mothers had a previous history of abortion, 7.7% has previous perinatal death and 3.3% have a previous anomalous baby. 5.49% of mothers had Diabetic disorders and 4.39% had congenital heart disease. Associated polyhydramnios was found in 17.7% and oligohydramnios was found in 12.1% of cases. The distribution pattern of anomalies according to the system involved showed that 41.7% was Central Nervous System anomaly, 8.7% was Renal anomaly, 6.5% was Musculoskeletal anomaly, 4.4% was Gastrointestinal anomaly,6.6% had body wall defect, 10.9 % was Nonimmune Hydrops, 3.3% was Syndromic baby and 13.1% had multiple congenital anomalies.
Conclusion: It is a tertiary hospital-based study. So it may not reflect the actual picture of the population. So community-based study is needed for further advancement.
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