Zelalem Animaw
Debre Tabor university, Ethiopia
Title: Magnitude and associated Factors of Congenital heart defects (CHD) among under-five children with birth defects in south and North Gonder, Ethiopia
Biography
Biography: Zelalem Animaw
Abstract
Introduction: Prenatal development of Humans might not always end up by producing full term healthy neonate. There are times where infants could be born with different birth defects due to numerous factors. Congenital Heart Defects (CHD) among the commonest type birth defects causing mortality, morbidity and long term disabilities in children especially in middle and low-income countries.
Objectives: The purpose of this study is to assess the magnitude and associated factors of Congenital Heart Defects among under-five children with birth defect in Debre Tabor and Gondar university hospitals.
Methodology: Institutional based retrospective cross-sectional study design was employed. All under-five children with birth defects from September 12, 2015 up to September 08, 2017 were included in the study.
Result: A total of 503 children were found to have birth defect. Among theses CHD accounts 19.3%, where VSD is the predominant of all types of CHD, (38.8%). Among the socio demographic characteristics none of them were significantly associated with the occurrence of CHD. But, maternal alcohol intake during pregnancy and gestational age were found to be associated significantly with AOR 0.48(95% CI, 0.29, 0.79) and AOR 0.448 (95% CI, 0.20, 0.98), respectively. While folic acid supplementation, and ANC follow up remains not significant.
Conclusion: prevalence of congenital heart defects is higher in North and south Gonder. According to this study maternal alcohol intake and pre term delivery were identified risk factors for CHD.
Recommendation: Based on the result of this study, we strongly recommend to strengthen the activities of ANC follow up insuring maternal risk factors for CHD