Congenital anomalies in black South African liveborn neonates at an urban academic hospital.
OBJECTIVE
The aim was to study the spectrum of clinical problems and outcomes in infants born at an urban academic hospital. In consequence, as part of the overall study, the incidence of congenital anomalies and the outcomes of affected infants were recorded.


METHODS
This was a prospective, hospital-based study, undertaken on liveborn infants born over a 3-year period, 1 May 1986 to 30 April 1989.


METHODS
Kalafong Hospital, Pretoria.


RESULTS
A total of 17,351 liveborn infants was examined and the total congenital anomalies incidence was 11.87 per 1,000 livebirths. The central nervous system was the system most frequently involved (2.30 per 1,000 livebirths), followed by the musculoskeletal system (2.13 per 1,000 livebirths). The commonest individual congenital anomaly was Down syndrome (1.33 per 1,000 livebirths), followed by neural tube defects (0.99 per 1,000 livebirths) and ventricular septal defects (0.69 per 1,000 livebirths). In 11% (2.25 per 1,000 livebirths) of neonatal deaths, infant loss was attributable to congenital anomalies.


CONCLUSIONS
The incidence of congenital anomalies in black South African neonates, born in an urban setting, is as high as in other First- and Third-World countries, and the incidence of some individual congenital anomalies is higher. This study indicates the need for further research and the establishment of prenatal, genetics and paediatric facilities to manage these problems.
Delport
S D
SD
Department of Paediatrics, University of Pretoria.
Christianson
A L
AL
van den Berg
H J
HJ
Wolmarans
L
L
Gericke
G S
GS
D000046:Academic Medical Centers / Q000706:statistics & numerical data; D001741:Black or African American; D044383:Black People; D002490:Central Nervous System / Q000002:abnormalities; D002869:Chromosome Aberrations / Q000453:epidemiology; D025063:Chromosome Disorders; D000013:Congenital Abnormalities / Q000453:epidemiology* / Q000208:ethnology; D004065:Digestive System Abnormalities; D004314:Down Syndrome / Q000453:epidemiology; D006330:Heart Defects, Congenital / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D009139:Musculoskeletal Abnormalities; D009436:Neural Tube Defects / Q000453:epidemiology; D011446:Prospective Studies; D013019:South Africa / Q000453:epidemiology / Q000208:ethnology; D014505:Urban Population