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Journal of the Korean Pediatric Society 1992;35(3):315-321.
Published online March 15, 1992.
Clinical Study on Congenital Anomalies
Young Soo Kwon, Heung Keun Oh, Jin Jae Kim, Chang Ok Soh, Jin Hee Jung, Jin Young Jung
Department of Pediatrics, Haesung Hospital, Asan Foundation, Korea
선천성 기형에 대한 임성적 고찰
권영수, 오흥근, 김진제, 소창옥, 정진희, 정진영
아산재단 해성병원 소아과
Abstract
Congenital malformations are known as a major cause of perinatal death. But the causes and Mechanisms of malformations ae still not understood in many cases. So, a clinical stduy was one about congenital malformaions on 8,584 deliveries a Haesung Hospital during the period of 5 and 7/12years from Jan. 1, 1985 to Jul. 31, 1990. The results were as follows: 1) The incidence of congenial malformaions among 8,584 deliveries was 2.6% (2.6% among live births and 7.1% among stillbirths). 2) The incidence of congenital malformations was 2.8% for male and 2.5% for female 3) The incidence of congenital malformations among the babies, below 2,500g of birth weight was 7.0% , between 2,500g and 3,999g was 2.2% and over 4,000g was 2.7%. 4) The incidence of congenital malformations among th babies, below 32 weeks of gestational age was 8.4%, between 32 weeks and 36 weeks was 4.5% between 37 weeks and 41 weeks was 2.4% and over 42 weeks was 3.1%. 5) The babies born to mothers younger than 20 years of age had malformations in 5.3%, mothrs aged between 20years and 30 yeas delivered malformed babies in 2.6% and older than 35 years delivered malformed babies in 6.3%. 6) The indidence of congenital malformations according to Apga score among the live births, between 0 and 3 was 11.9%, between 4 and 6 was 5.5% and between 7 and 10 was 2.2%. 7) Among 226 malformd babies, 26 babies (11.5%) hd more than one malformation. To congenital malformation among malformed babies was most frequent (73.1%). 8) The systems of ongenital malformations in order of frequncy were as follows; The musculoskeletal system (23.4%), the ski and soft tissue (21.8%), th cardiovascular system (21.4%), the digestive system (15.5%), the geniourinary system (9.5%), the entral nervous system (7.5%), and the respiratory system (0.8%).
Key Words: Congenital anomaly


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