Introduction:Congenital anomalies are a major cause of neonatal mortality and morbidity both in developed and developing countries. It accounts for 8-15% of perinatal deaths and 13-16% of neonatal deaths in India. Aims and Objective: This study was done to determine the proportion and changing pattern of congenital anomalies in live newborns and to study the associated maternal and perinatal risk factors. Materials and Method: This is a hospital based cross-sectional descriptive study and was conducted in Bankura Sammalini Medical College and Hospital, West Bengal India during the period July 2016 to December 2017. Results: During his period 31989 babies were born, of which 598 had congenital malformations, making the prevalence 1.86%. Distribution of malformation was predominant among males than in females (66.7 vs. 32.6%; p < 0.05). Discussion: The predominant system involved was musculo-skeletal system followed by cardiovascular and genitourinary system. Congenital anomalies were more likely associated with low birth weight, prematurity, multiparity, consanguinity and caesarean delivery. Various maternal risk factors were studied as well as the role of early preventive interventionalstrategies. Conclusion: Public awareness is to be created and early prenatal diagnosis and management of common anomalies is highly recommended.
Purpose To find out common causes of pelvis-abdominal (PA) lump in women of different age groups and to analyse clinical presentation and the histopathological finding of the PA lump in the gynaecology department of a referral hospital. Methods Sixty-eight women of 60 years or less who present with PA lump were recruited for the study. Women carrying intrauterine pregnancy were excluded from the study. Clinical and histopathological analysis of PA lump was done after operations. This was an observational study. Association was assessed by means of Chi-square test. For all statistical purposes, p \ 0.05 was taken as statistically significant.Results 88.23 % of PA lumps were in the age of 21-50 years age groups. Uterine fibromyoma (38.23 %), ovarian tumour (26.47 %) and endometriosis (10.29 %) were common causes presenting with PA lump. The percentage of benign PA lump in the different age groups from 11 to 60 years was significant when compared with malignant histopathology (p value = 0.000 in each age group of 11-20, 21-30, 31-40, 41-50 and 51-60 years). Conclusions Uterine fibromyoma was the commonest PA lump followed by ovarian tumour and endometriosis in the women of different age groups from 11 to 60 years. Pain and lump abdomen were common clinical symptom and sign in ovarian malignancy. Histopathology showed that PA lump of women of 60 years or less was mostly benign in nature, which was significant.
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