EPIDEMIOLOGICAL AND CLINICAL CHARACTERISTICSOF CONGENITAL ANOMALIES IN TUZLA CANTON,BOSNIA AND HERZEGOVINA
Fahrija Skokić Enida Nevačinović
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Sažetak Aim of this work is to present the epidemiological and clinical characteristics of congenital anomalies in Tuzla Canton, Bosnia and Herzegovina. Materials and Methods. Retrospective analysis of 41 395 childbirths in Ob & Gyn Clinic University Clinical Centre, Tuzla, from Jan. 1995 to Dec. 2003. Diagnosis of congenital anomalies was per-formed on the basis of clinical and ultrasound examination, CAT scan and caryotype. Results. In the eight years period we have registered 647 newborns with congenital anomalies, with incidence 1:63.97 and prevalence 15.62 on 1000 live born. The most frequent were heart anomalies (22.10%) with prevalence of 3.45‰. Chromosomal aberrations – Sy Down was established in 83 cases with incidence 1:498.7. Age structure of mothers was between 16 to 42 years, with average age 29.85±2.0 years. Sufficient but not optimal number of visits during pregnancy (8–10) was only in 8.19% of mothers. The rate between genders was 1:1.27 in favour of female newborns that is significantly different from general population, with rate 1,08:1 in favour of male newborns. We have a few options for operative treatment (5.71%) especially in institutions with low possibilities for postoperative care and therapy and consequently with high mortality (25.96%). Conclusion. Congenital anomalies are important problem for health care in Tuzla Canton. The solution of this problem should be at the level of a country.