Congenital malformations in the neonatal unit of Arifin Achmad Hospital, Pekanbaru: occurrence and trends

Abstract

Background Congenital malformations are a global and continualissue, contributing to neonatal mortality. The incidence andprevalence, as well as distribution of congenital malformationsvary among countries.Objective To determine the 'prevalence, distribution, and trendsin congenital malformations which are important to develop plansto cope Mth the problem.Methods We reviewed all cases of congenital malformationsadmitted to the Neonatal Unit, Department of Child Health,Arifin Ahmad Hospital from 2008 to 2010. Data were collectedfrom medical records. Diagnoses of congenital malformationswere established by history-taking, physical examination,and specific laboratory tests. Trends in the distribution ofcongenital malformation types, as well as clinical outcomes werehighlighted.Results During the study period there were 2,317 infants admit-ted to the Neonatal Unit, 724 in 2008, 772 in 2009, and 821 in2010. Most patients were referred by other hospitals, at the ageof 0-3 days. Most patients had normal birth weight and were de-livered vaginally. Of the 2,317 infants, 302 were diagnosed withcongenital malformations; the most common congenital malfor-mations were of the digestive tract. The distribution of anomalytypes was relatively constant over time, but the proportion ofpatients Mth congenital malformations discharged alive increasedin the latter two years of the 3-year period studied.Conclusion Most infants in our study had congenital malforma-tions involving the gastrointestinal tract. Distribution trendswere constant over time. Further efforts should be made to bettermanage future cases. [Paediatr lndones. 2012;52:284,8].

Congenital Anomalies in Neonates Admitted to a Tertiary Hospital in Southwest Ethiopia: A Cross Sectional Study

“…The major reason for this difference is mainly methodological (retrospective review of registers and maternal medical records in two of the studies with possible under estimation due to incomplete or poor registration and the study population (the study was done in patients 0 to 17years old visiting the hospitals in the other). Even if variations are expected in the type of congenital anomalies depending on different factors( 1 , 2 , 15 ), similar to other studies( 4 , 5 , 7 , 10 – 14 ), our study demonstrated anomalies of the nervous system to be the commonest types of anomalies.…”

“…Hence, mothers with no or inadequate ANC follow up might be at risk of having newborns with congenital anomalies. Different studies( 4 , 7 ) including a study done in Ethiopia before( 14 ), have also demonstrated this, mothers with no or inadequate ANC visits having increased risk of congenital anomalies in their newborns( 4 , 7 ). Our study has also demonstrated same, indicating the need of improving antenatal care attendance by pregnant mothers as early in their pregnancy course as possible and improving the quality of ANC provided by healthcare workers particularly targeting the preventive measures towards congenital anomalies.…”

“…The World Health Organization (WHO) estimates that around 270, 000 deaths worldwide (about 7% of all neonatal deaths) were caused by congenital anomalies in 2010( 1 ). Few studies done in low and middle income countries (LMICs) have also indicated that congenital anomalies are prevalent problems in neonates( 4 – 7 ). In the large proportion of the cases, the causes/risk factors of congenital anomalies are unknown even if genetic defects (like chromosomal anomalies), environmental factors (like exposure to teratogens), maternal chronic medical disorders (like diabetes mellitus), maternal infections (like rubella), and micronutrient deficiency (like folate deficiency) contribute significantly to the increased risk of congenital anomalies( 2 – 4 , 6 , 8 , 9 ).…”

Determinan Kecenderungan Fraud Berdasarkan Aspek Akuntansi dan Moralitas : Survei pada Industri Rumah Sakit

“…Hubungan antara prinsipal dengan agen apabila tidak dijalani dan dikelola dengan baik, akan memicu adanya asimetri informasi. Asimetri informasi merupakan ketidakselarasan informasi dari yang menyediakan kepada pihak yang menerima informasi (Wisnumurti, 2012). Berdasarkan teori agensi, asimetri informasi juga dipahami sebagai kondisi dimana agen lebih banyak memiliki informasi tentang perusahaan ketimbang prinsipal (Wisnumurti, 2012).…”

“…Asimetri informasi (X2) didefinisikan sebagai ketidakselarasan informasi karena pihak agen cenderung memiliki informasi yang lebih banyak daripada prinsipal (Wisnumurti, 2012). Pengukuran asimetri informasi menggunakan kuesioner dengan indikator berupa sistem informasi akuntansi, hubungan input dan output, potensi kinerja, dan teknis pekerjaan (Ariani et al, 2014).…”