Analysis of Monitoring Results of 711 Infants with Birth Defects in Yunyan District of Guiyang City

Abstract

Abstract:

〔Abstract〕 Objective： To analyze the occurrence of birth defects in Yunyan district of Guiyang city from 2017 to 2019 and analyze the relevant influencing factors， so as to provide a basis for government departments to carry out the prevention and control of birth defects. Methods： Based on the "China Birth Defect Hospital Monitoring Program" as the standard and the hospital as the statistical unit， the 20-week of gestation to 7 days after delivery from January 1， 2017 to December 31， 2019 in midwifery institutions in Yunyan district， Guiyang city birth defects were monitored. Results： A total of 22 693 fetuses were monitored from 2017 to 2019， among which 711 were born with birth defects， and the incidence rate of birth defects was 313.31‱. There was no significant difference in the incidence rate of birth defects between different years（P>0.05）. The total incidence rate of birth defects in female infants was 137.49‱， and the total incidence rate of birth defects in male infants was 175.83‱. The incidence rate of male infants was significantly higher than that of female infants， and the difference was statistically significant（P<0.05）. The top 5 defect types in 3 years were congenital heart disease （84.17‱）， external ear deformity （47.15‱）， polydactyly （toe）（25.56‱）， cleft lip and palate （23.80‱）， Down syndrome （14.10‱）， in which the incidence of congenital heart disease increased year by year（P<0.05）. Birth defects were mainly diagnosed based on clinical diagnosis and ultrasound diagnosis， and the diagnosis time was the highest within 7 days after birth， reaching 59.77%. The total live birth rate of defective infants was 77.22%. Conclusion： From 2017 to 2019， the incidence rate of birth defects in Yunyan district of Guiyang city generally showed a trend of increasing first and then decreasing， among which congenital heart disease and external ear deformity were the most common types of defects. Therefore， there is an urgent need to improve the maternal and child health services in Guiyang city， strengthen prenatal screening and monitoring， and increase the detection rate of birth defects in order to evaluate the status of the birth population and better formulate solutions to improve the quality of the population.

Key words:

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CLC Number:

He Jiangyan, Zheng Dan, Li Mei, Wang Fang, Zou Yan, Zhang Taiwei, Zhou Yiyuan.

Analysis of Monitoring Results of 711 Infants with Birth Defects in Yunyan District of Guiyang City [J]. Journal of Dali University, 2022, 7(10): 88-93.

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