Pattern of distribution of congenital anomalies in the newborn in Damietta general hospital

Abstract EN

The study was conducted at Damietta genera! hospital in the period from 1/ June/ 2015 tiil 31/ May/ 2016, 50 cases of neonates borae with dysmorphologic congenital anomalies and 50 control neonates were included in the study, Mothers of cases and controls were interviewed face to face, the pre- performed structured questionnaire was used, information were collected about families socio- demographic characteristics, life style, habits, history of chronic illnesses, long term medicatioas, exposure to expected risk factors (toxic substances, industrial hazards, environmental factors), consumption of certain foods, thorough general and systemic examination for included cases and controls, some investigations were done when needed.

R esults showed that the number of babies borne with dysmorphologic congenita! 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% Systemic distribution of these anomalies was: digestive system anomalies 30% (the most common diagnosis among studies cases was tie tongue representing 28% of cases ), musculoskeletal anomalies 20%, skin anomalies 14%, eye, ear, face and neck 10%, cardiovascular system anomalies 10%, genital organs anomalies 8%, cleft lip and palate 4%, Chromosomal abnormalities 2%.

The study showed that there is an increased risk of dysmorphologic congenital anomalies as: Parental Smoking ( active paternal and passive maternal )(OR= 5.78), frequent fish intake {2times and more/ week XOR= 4,89), high tendency to: legume intake (OR= 19,12), Canned foods intake (OR- 6.52), frozen food mtake ( OR= 6.52), Fast foods intake (OK- 3.08 ).