A Prospective Study of Spectrum, Risk Factors and Immediate Outcome of Congenital Anomalies in Bida, North Central Nigeria
- PMID: 28540107
- PMCID: PMC5423339
- DOI: 10.4103/amhsr.amhsr_108_13
A Prospective Study of Spectrum, Risk Factors and Immediate Outcome of Congenital Anomalies in Bida, North Central Nigeria
Abstract
Background: Congenital disorders are structural, metabolic, behavioral and functional disorders that are present at birth. Their manifestations are protean ranging from mild anomalies to life-threatening conditions.
Aim: The objectives of this study were to describe the congenital anomalies in children seen at Federal Medical Center, Bida over a 12 month period, determine possible factors associated with these anomalies; and their short term outcome.
Subjects and methods: Children with clinically recognized congenital malformations were recruited consecutively over a 12 month period and socio-demographic, etiologic and other relevant clinical data were obtained. A detailed examination was also performed and abnormalities documented. The data was analyzed using Epi-info version 6 (Atlanta, USA). The Chi-square was used to identify significant differences for categorical variables. Mid-P and Fisher's exact tests were utilized as appropriate. A P < 0.05 was considered to be significant.
Results: A total of 46 children with congenital anomalies were seen during the study period, all which were recruited into the study. The hospital based prevalence amongst neonates was 111/1000 neonates. The most common system affected was the digestive system(50.0%) followed by the central nervous system and head and neck anomalies. There was no significant difference in distribution of anomalies amongst the various ethnic groups. About 22% of families were consanguineous, all being first cousins and 8.7% of mothers were greater than 35 years of age. The case fatality rate for congenital malformations was 2.2%, while 60.9% were referred to other hospitals for further care.
Conclusion: The study has demonstrated a wide variety of congenital anomalies in Bida, North-Central Nigeria with the digestive system anomalies being the most frequent. The findings of this study strengthen the need for empowerment of the institution in appropriate management of these disorders.
Keywords: Anomalies; Bida; Congenital malformations.
Conflict of interest statement
There are no conflicts of interest.
Figures
Similar articles
-
Incidence, spectrum and outcome of congenital anomalies seen in a neonatal intensive care unit in Southern Nigeria.Niger Postgrad Med J. 2019 Oct-Dec;26(4):239-243. doi: 10.4103/npmj.npmj_77_19. Niger Postgrad Med J. 2019. PMID: 31621665
-
Foetal congenital anomalies: An experience from a tertiary health institution in north-west nigeria (2011-2013).Niger Postgrad Med J. 2015 Jul-Sep;22(3):174-8. doi: 10.4103/1117-1936.170743. Niger Postgrad Med J. 2015. PMID: 26739205
-
Prevalence, risk factors and outcome of congenital anomalies among neonatal admissions in OGBOMOSO, Nigeria.BMC Pediatr. 2019 Apr 3;19(1):88. doi: 10.1186/s12887-019-1471-1. BMC Pediatr. 2019. PMID: 30943931 Free PMC article.
-
Spectrum of Congenital Malformations in Federal Teaching Hospital Gombe: A Ten-Year Review.West Afr J Med. 2018 Sep-Dec;35(3):195-198. West Afr J Med. 2018. PMID: 30387093 Review.
-
Fetal Congenital Anomaly in Tertiary Hospital in Lagos, South-West Nigeria: A Review of Presentation and its Outcome.West Afr J Med. 2019 Jan-Apr;36(1):25-28. West Afr J Med. 2019. PMID: 30924113 Review.
Cited by
-
Frequency of Congenital Anomalies in the Brazilian Midwest and the Association with Maternal Risk Factors: Case-control Study.Rev Bras Ginecol Obstet. 2020 Apr;42(4):188-193. doi: 10.1055/s-0040-1709692. Epub 2020 Apr 24. Rev Bras Ginecol Obstet. 2020. PMID: 32330960 Free PMC article.
-
Congenital Anomalies in Neonates Admitted to a Tertiary Hospital in Southwest Ethiopia: A Cross Sectional Study.Ethiop J Health Sci. 2021 Nov;31(6):1155-1162. doi: 10.4314/ejhs.v31i6.10. Ethiop J Health Sci. 2021. PMID: 35392332 Free PMC article.
-
Congenital anomalies and risk factors in Africa: a systematic review and meta-analysis.BMJ Paediatr Open. 2023 Jul;7(1):e002022. doi: 10.1136/bmjpo-2023-002022. BMJ Paediatr Open. 2023. PMID: 37429669 Free PMC article.
-
Spectrum of congenital anomalies detected through anatomy ultrasound at a referral hospital in Ghana.BMC Pregnancy Childbirth. 2025 Apr 25;25(1):500. doi: 10.1186/s12884-025-07640-x. BMC Pregnancy Childbirth. 2025. PMID: 40281475 Free PMC article.
References
-
- Sadler TW. Birth defects and prenatal diagnosis. In: Sadler TW, editor. Langman's Medical Embryology. 9th ed. Philadelphia: Lippincott Williams and Wilkins; 2004. pp. 149–68.
-
- Wynshaw-Boris A, Biesecker LG. Dysmorphology. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, editors. Nelson's Textbook of Pediatrics. 18th ed. Philadelphia: Saunders Elsevier; 2007.
-
- Lowry RB. Introduction to congenital anomalies. In: Lowry RB, editor. Congenital Anomalies in Canada: A Perinatal Health Report 2002. 1st ed. Ottawa: Minister of Public Works and Government Services Canada; 2002. pp. xi–xvii.
-
- Tomatir AG, Demirhan H, Sorkun HC, Köksal A, Ozerdem F, Cilengir N. Major congenital anomalies: A five-year retrospective regional study in Turkey. Genet Mol Res. 2009;8:19–27. - PubMed
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources