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摩洛哥新生儿先天性畸形:一项回顾性研究。

Congenital malformations among newborns in Morocco: A retrospective study.

作者信息

Elghanmi Adil, Razine Rachid, Jou Mohamed, Berrada Rachid

机构信息

Centre for Doctoral Studies in Life and Health Sciences, Faculty of Medicine and Pharmacy, Mohammed VI University of Health Sciences (UM6SS), Casablanca.

Laboratory of Public Health, Faculty of Medicine, Mohammed V University, Rabat.

出版信息

Pediatr Rep. 2020 Apr 7;12(1):7405. doi: 10.4081/pr.2020.7405. eCollection 2020 Feb 11.

Abstract

Congenital malformations are one of the leading causes of neonates and infants' mortality and morbidity. The frequency of these congenital malformations varies in different populations. The objective of this study was to find out the prevalence and pattern of congenital malformations in a tertiary teaching hospital in Rabat, Morocco. This four-year retrospective descriptive study was conducted from January 2011 to December 2014. All newborns with congenital malformations diagnosed at birth were included. Mothers and newborn characteristics were analyzed using SPSS 13.0. A total of 706 newborns were noted to have congenital malformation. The prevalence rate was 1.02%. The mean maternal age was 28.8±7.2 years. The mean maternal body mass index was 28.1±6.9 kg/m. 13.3% of the mothers had a history of abortion. The nervous system was the most affected system (19.4%) followed by the musculoskeletal system (14.2%), the chromosomal abnormalities (12.3%) and the genito-urinary system (10.8%). Males newborns (57.9%) had more congenital malformations than females (40.5%). The rates for live-births, fetal asphyxia and stillbirths were 75.2%, 7.2% and 17.3%, respectively. This retrospective study provides recent and detailed data about congenital malformations in a Moroccan region. The result from this study will contribute to the knowledge of congenital malformations in this particular area and hence the supportive preventive policy.

摘要

先天性畸形是新生儿和婴儿死亡及发病的主要原因之一。这些先天性畸形的发生率在不同人群中有所不同。本研究的目的是找出摩洛哥拉巴特一家三级教学医院中先天性畸形的患病率和模式。这项为期四年的回顾性描述性研究于2011年1月至2014年12月进行。纳入所有出生时被诊断为先天性畸形的新生儿。使用SPSS 13.0分析母亲和新生儿的特征。共记录到706例患有先天性畸形的新生儿。患病率为1.02%。母亲的平均年龄为28.8±7.2岁。母亲的平均体重指数为28.1±6.9kg/m。13.3%的母亲有流产史。神经系统是受影响最严重的系统(19.4%),其次是肌肉骨骼系统(14.2%)、染色体异常(12.3%)和泌尿生殖系统(10.8%)。男性新生儿(57.9%)的先天性畸形比女性(40.5%)更多。活产、胎儿窒息和死产的发生率分别为75.2%、7.2%和17.3%。这项回顾性研究提供了摩洛哥某地区关于先天性畸形的最新详细数据。本研究结果将有助于了解该特定地区的先天性畸形情况,从而制定支持性预防政策。

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