[Epidemiological and clinical characteristics of congenital anomalies in Tuzla Canton, Bosnia and Herzegovina].

AIM

of this work is to show epidemiological and clinical characteristics of congenital anomalies in Tuzla Canton, Bosnia and Herzegovina.

MATERIALS AND METHODS

Retrospective analysis of 41 395 labours in Ob & Gyn Clinic University Clinical Centre, Tuzla, from Jan 1995 to Dec 2003. Diagnosis of congenital anomalies was performing on the basis of clinical, ultrasound examination, CAT scan and cariotype.

RESULTS

In the eight years period we have registered 647 live born both genders with congenital anomalies on the birth, with incidence 1:63.97 and prevalence 15.62 on 1000 live born. Most frequently we had hearth congenital anomalies (22.10%) with prevalence of 3.45%. Chromosomal aberrations--Sy Down we had in 83 cases with incidence 1:498.7. Age structure of mothers was between 16 to 42 years, with average age 29,85 (SD +/- 2). Sufficient but not optimal number of controls during pregnancy (8-10) we have only in 8.19% of mothers. Rate between genders was 1:1,27 in favour of female newborns which is significantly different from general population with rate 1,08-1 in favour of male newborns in Tuzla Canton. We have a few options for operative treatment (5.71%) especially in centres with low possibilities for postoperative care and therapy and consequently high mortality (25.96%).

CONCLUSION

Congenital anomalies are great problem for health care in Tuzla Canton, so we urge to salvation of this problem at the state level.