Analytic Study Of Congenital Malformations In Four


Background: Congenital malformations are responsible for a considerable proportion ofperinatal, neonatal and infant mortality in many Eastern Mediterranean countries. So this studyaims to find out the incidence, types and probable risk factors of these malformations in Baghdad.Patients and methods: one hundred cases of congenital malformations were studied out of 8090neonates born in 4 hospitals in Baghdad province over 5 months in 2002 (preterm, term) .Theincidence , types and risk factors were analysed .Results: the incidence of congenital malformations was 12.36/ 1000 live births, with the centralnervous system malformations being the commonest. There is increased risk in consanguinousmarriages 27 (27%), mothers not attending antenatal care 25 (25%), mothers of low gravidity 60(60%), and mothers not taking folic acid during pregnancy (86.7%).Conclusion: Consanguineous marriages and mothers not taking folic acid during pregnancy areimportant risk factors for the occurrence of congenital malformations .So I recommend geneticcounseling especially for consanguineous marriages, and giving all pregnant women folic acidbefore and during pregnancy. A multicentre study will give more broad idea about the incidence ,types ,and risk factors in our country