Incidence of Congenital heart disease among the neonates in neonatal intensive care unit of a tertiary care hospital
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2017, Vol 4, Issue 4
Abstract
Background: A large number of newborns are affected by congenital heart diseases, which accounts for a high proportion of infant mortality worldwide. But there are regional variations in the prevalence and distribution pattern of congenital heart diseases. We evaluated the incidence, risk factors and diagnostic clues for congenital heart disease in newborns in our neonatal intensive care unit. Methods: A prospective observational study was conducted in the neonatal intensive care unit of Vydehi institute of medical sciences between January 2013 to December 2016. Congenital heart disease was suspected if clinical and confirmed by 2D echocardiography and doppler and colour flow imaging. Data was collected on a predesigned proforma containing information regarding gender, gestational age and weight at birth, family history, and associated malformations. Results: Out of 1974 babies screened for CHDs, 126 babies had CHDs (4.6%) of which 71(56%) were males. Most of neonates presented with Respiratory distress (52.3%), murmurs (49.5%), abnormal chest X ray (27.7%), followed by cyanosis (18.2%) in Cyanotic CHDs(100% of the cases) .Conclusion: The incidence of CHD in newborns at the neonatal intensive care unit was higher than that in all live births.VSD was the most common congenital heart defect detected while Tetralogy of Fallot was commonest among the cyanotic heart defects.
Authors and Affiliations
Dinakara Prithviraj, Bharath Reddy, Rajeshwari S, Utkarsh Jain
Antibiotics prescription pattern and compliance for common childhood illnesses – an observational study
Introduction: Antibiotics are generally overused in children. Frequent inappropriate use of antibiotics and poor compliance contributes to antibiotic resistance. An observational study was undertaken to determine the pat...
Accuracy of transcutaneous bilirubinometer in assessing jaundice in newborns in Indian context
Background: Jaundice is a very common problem in newborns. Though measuring serum bilirubin is considered the gold standard method for estimating jaundice, Transcutaneous Bilirubin (TCB) measurement by TCB meter is now u...
Quality of Life in children with epilepsy
Care of children with epilepsy (CWE) in developing resource limited nations like India includes major emphasis on seizure control with minimal possible side effects of anti-epileptic drugs. Evaluation of QOL of CWE and s...
Socioeconomic determinants of severe anemia and assessment for iron and vitamin B12 deficiency among anemic adolescents
Background: Adolescence is the period of most rapid growth due to which they face serious nutritional challenges and make them more vulnerable to anemia. Anemia in the adolescence has a negative effect on their growth &...
Pattern of Early Neonatal Morbidities in Moderate and Late Pre-terms
Objective: The present study is an attempt to analyze the data on the pattern of early neonatal morbidities among moderate and late preterm infants of 32 full weeks of gestation to 36+6 weeks’ gestational age in a tertia...