PREVALENCE OF CONGENITAL HEART DISEASE IN NEONATES AND INFANTS IN RURAL TERTIARY CARE HOSPITAL

Abstract

Background: congenital heart disease are relatively common congenital malformations with prevalence ranging from3.5-17 perr 1000 live births.

Objective: to study prevalence, age wise distribution, clinical spectrum and immediate outcome of CHD in neonate and infants.

Materials and methods: this is hospital based, prospective observational study conducted in 41 patients in Pediatrics department, Smt. B.K.Shah Medical Institute and Research Center, Dhiraj Hospital, Sumandeep Vidyapeeth, Pipariya during December 2019 to May 2021. Clinical examination followed by confirmation with 2D-ECHO and Colour Doppler done.

Results: Out of 41 patients, male:female ratio was 2.4:1. The prevalence of CHD amongst the term babies were around 32 (78%) and around 8 (19.5 %) in pre term infants. 82.7% CHD were acyanotic, where VSD (31.7%) was the most common followed by PDA (14.6%).

Out of 41 CHD infants around 23(56.1 %) were discharged and only 3 died which is 7.3 %. Surgical intervention was performed in 3 cases.

Conclusions: Acyanotic heart diseases were commonly found than cyanotic heart conditions in neonates and infants. Amongst those, VSD is the most common one followed by PDA.