Evaluating the Prevalence of Congenital Anomalies in Neonatal Live Births in Rafsanjan

Vahide Khadem Sameni, F. Ebrahimi, H. Ahmadinia, Seyed Zia Tabatabei
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Abstract

Introduction: Congenital anomalies are one of the important causes of disability and infant mortality. These abnormalities occur during egg fertilization or embryonic development, which can be detected by laboratory methods. The aim of this study is to investigate the prevalence of congenital anomalies in Rafsanjan City. Methods: This cross-sectional study was performed on 4868 infants born in Rafsanjan city in 2018. Data collection tool was a questionnaire including information about mothers and infants. The questionnaire was completed using health records available in health centers of Rafsanjan city. Data were analyzed using SPSS 20 and independent t-test and Chi-square. Results: The results showed that the overall prevalence of congenital anomalies in Rafsanjan was 5/38 per 1000 live births. Out of 4868 pregnant women, 474 (9/7%), had abortions or stillbirths before the second trimester, and 12 (0/2%) had therapeutic abortions. After analyzing these anomalies, three cases of Down syndrome (trisomy 21), three cases of Edward syndrome (trisomy 18), one case of aneuploidy, and two cases of microcephaly were found, and the rest had one of the structural abnormalities.. Conclusion: The results of this study indicated a high rate of congenital anomalies in Rafsanjan. Therefore, further studies are recommended to better understand the causes and prevent these anomalies.
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评估拉夫桑詹新生儿活产先天性畸形的患病率
前言:先天性畸形是导致残疾和婴儿死亡的重要原因之一。这些异常发生在卵子受精或胚胎发育期间,可以通过实验室方法检测到。本研究的目的是调查拉夫桑詹市先天性畸形的患病率。方法:对2018年拉夫桑詹市出生的4868名婴儿进行横断面研究。数据收集工具为问卷调查,包括母亲和婴儿的信息。问卷是利用拉夫桑詹市保健中心提供的健康记录完成的。数据分析采用SPSS 20、独立t检验和卡方检验。结果:结果显示,拉夫桑詹先天性畸形的总体患病率为每1000例活产5/38。在4868名孕妇中,474名(9/7%)在妊娠中期之前流产或死产,12名(0/2%)进行了治疗性流产。分析这些异常后,发现唐氏综合征(21三体)3例,爱德华综合征(18三体)3例,非整倍体1例,小头畸形2例,其余结构异常1例。结论:本研究结果提示拉夫桑詹先天性畸形发生率高。因此,建议进一步研究以更好地了解原因并预防这些异常。
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