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Clinical Studies on Congenital Anomalies.

Journal of the Korean Pediatric Society 1990;33(6):754-761.
Published online June 30, 1990.
Clinical Studies on Congenital Anomalies.
Hyeon Joo Chai, Kyung Hee Kim
Department of Pediatrics, College of Medicine, Ewha Woman's University, Seoul, Korea
선천성 기형에 대한 임상적 고찰
최현주, 김경희
이화여자대학교 의과대학 소아과학교실
Received: 23 February 1990   • Accepted: 8 April 1990
Abstract
Modem medical science has been developed advanced rapidly in the past years, but congenital anomalies are known as a major cause of neonatal death. So, we studied the incidence of congenital malformations among 11,119 babies deliveried or admitted at EWUH during a period of five years starting from June 1983. The results were as follows: 1) The incidence of congenital malformations among 11,119 deliveries was 1.5%(1.5% among live births and 2.8% among still births). 2) The incidence of congenital malformations was 1.7% for male and 1.3% for female. 3) The incidence of congenital malformations among the babies, below 32 weeks was 4.2%, and 7. 6% among the babies, between 32 weeks and 36 weeks, 1.2% among the babies, between 37 weeks and 41 weeks and 3.6% among the babies, over 42 weeks. 4) The incidence of congenital malformations among the babies, below 2,500 g of birth weight was 5.5%, between 2,500g and 3,999g was 1.2% and over 4,000g was 1.5%. 5) The incidence of congenital malformations among the babies below 3 of the number of parity was 0.2% and 29.4% among the babies, over 3 of the number of parity. 6) 4.4% of babies born to mothers younger than 20 years of age had malformations, mothers aged between 20 and 34 years delivered anomalous babies in 1.4% and older than 35 years delivered anomalous babies in 3.4%. 7) The incidence of congenital malformations among the babies whoes Apgar score was between 0 and 3 was 24.1%, 3.2% among the babies whoes Apgar score was between 4 and 7 and 1.0% among the babies whoes Apgar score was between 8 and 10. 8) The incidence of malformation was related with multiple pregnancy(p < 0.05). 9) The organs involved were in descending order of froquency: the musculoskeletal, gastrointesti- nal, cardiovascular, genitourinary, chromosome, central nervous, skin and soft tissue, and the respira- tory system.
Key Words: Congenital anomaly


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