Using prenatal ultrasound for detecting congenital anomalies in 12.760 newborn babies from 20042005 in 3 hospitals in Bogotá, Colombia
DOI:
https://doi.org/10.18597/rcog.451Keywords:
congenital abnormality, ultrasonography, prenatal diagnosis, congenital malformation, ECLAMCAbstract
Objective using ultrasound as diagnostic method for determining the frequency of pre-natally diagnosed congenital abnormalities.
Methods: a study of cases and controls using Latin-American Collaborative Study of Congenital Malformations (ECLAMC) methodology. All newborn children from 3 hospitals in Bogotá were assessed during 2004 and 2005.
Results: 12.760 newborn were reported. 382 of the newborns had congenital abnormalities (2.99%); however, only complete information was obtained for 287 of the cases (75.13%). An average of 3,47 sonographic evaluations were made for the cases and 3.19 for the controls (p<0.05). The cases had lower gestational age (37.59 cf 38.29 weeks) (p<0.01), lower birth weight (2,841.9 cf3,022.67 grs) (p<0.01) and height (48.3 cm cf 49.34) (p<0.01) than the control group. 151 congenital abnormalities were diagnosed using obstetric ultrasound (52.6%); however, just 49 of them (32.5%) were detected using this tool.
Conclusions: ultrasound detection rate in the 3 hospitals was lower compared to data from other studies. There is thus a need for better quality and technology to improve major congenital abnormality detection rates.
Author Biographies
Juan Camilo Gómez-Ruiz
Nicolás Fernández
Paola Páez
Ignacio Manuel Zarante
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