Surgical outcome of congenital anomaly in newborn at Tertiary care Rural hospital .

Background: Congenital malformations are of major concern as they are cosmetically unacceptable, often associated with significant functional abnormalities and may sometimes even be life-threatening. Study was done to explore the outcome of surgical intervention in congenital anomalies in a tertiary care rural hospital. Material and Methods: A prospective observational longitudinal hospital based study conducted in rural based tertiary care centre in the department of pediatrics from May 2016 to July2018. All the newborns were examined throughly for minor and major anomalies. Printed proforma was filled for recording of clinical examination of newborn and relevant investigations. Statistical analysis was applied to the data to study the types and factors affecting congenital anomalies. Results : Total number of neonatal admissions during this period was 19600. Major anomalies were in 155 patients while minor anomalies were observed in 15 babies. 150 babies with major anomalies also had minor anomalies. Out of 170 patients 57 underwent surgical procedure. Outcome was favourable in 42 cases while 15 died in post operative period due to various reasons. Conclusion: Management of these congenital anomalies as well as the associated morbidity and mortality constitute a significant healthcare problem. There is need to improve health care in tertiary area. Early diagnosis and surgrical intervention for major anomalies helps in preventing morbidity and mortality in neonatal period. [ABSTRACT FROM AUTHOR]