title: Congenital anomalies in paediatric surgery in North India.
abstract: BACKGROUND
  Congenital malformation represents defects in morphogenesis during early foetal life. Congenital anomalies account for 8-15% of perinatal deaths and 13-16% of neonatal deaths in India. The proportion of perinatal deaths due to congenital malformations is increasing as a result of reduction of mortality due to other causes owing to the improvement in perinatal and neonatal care.
  
  
  METHODS
  A retrospective record based study was conducted in the Paediatric Surgery Department of a Tertiary Care Institute of North India. The records of over a decade (2003-2012) were analysed. A total of 4305 cases of congenital anomalies were recorded in the study. All the data were entered in the excel spread sheet and analysed in SPSS version 17. (Statistical Package for the Social Sciences, a software package used for statistical analysis, officially named "IBM SPSS Statistics").
  
  
  RESULTS
  Over the decade, a total of 14264 children were admitted in the paediatric surgery department with various problems. Out of these about one-third children (30.18%) had one or other type of congenital anomalies. This trend remained almost constant over the decade within a range of 26.8-33.6%. About half of the total congenital anomalies belonged to the gastro-intestinal tract, followed by genitourinary tract, central nervous system and other anomalies. All the anomalies were more common in males and were found in children belonging to rural communities.
  
  
  CONCLUSIONS
  All the neonates should be examined with scrutiny for overt as well as occult congenital anomalies and Paediatric surgical care should be considered as an essential component of child health programmes in developing populations. Moreover, it is necessary to establish a registry system for congenital anomalies.
authors.affiliation: Department of Community Medicine, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
authors.forename: Babita
authors.initials: B
authors.lastname: Jangra
authors.forename: Mahavir
authors.initials: M
authors.lastname: Singh
authors.forename: Kamal Nayan
authors.initials: KN
authors.lastname: Rattan
authors.forename: Yoginder Singh
authors.initials: YS
authors.lastname: Kadian
authors.forename: Amandeep
authors.initials: A
authors.lastname: Kaur
mesh_terms: D002648:Child; D002675:Child, Preschool; D000013:Congenital Abnormalities / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006801:Humans; D015994:Incidence; D007194:India / Q000453:epidemiology; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012042:Registries; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000706:statistics & numerical data*