Pattern of congenital heart disease in newborn in Al-Diwaniyah maternity and children teaching hospital


Background:CHD in the newborn is a problematic disease that need thorough investigation and may need urgent intervention.Objective:To review the pattern of CHD in newborns in Al-Diwaniyah city and to establish the relationship between CHD and certain parameters like sex,and consanguinity Patients and Methods: The study started at 1st of June 2008 till the 1st of January 2010 ,all newborn babies with suspected CHD were included in this study and undergo thorough history with specific attention on prenatal ,natal and postnatal history also questionnaire including sex ,full term or preterm delivery ,any previously affected sibling with CHD, the degree of consanguinity between the parents ,order of the patient in his family , then perfect general and cardiovascular system examination were performed to detect any other congenital or evidence of chromosomal abnormalities .Sixty seven neonates were enrolled in this study (7 of them were excluded because of prematurity)and 60 neonate were evaluated by chest X-ray, electrocardiograph, and echocardiography which done by expert pediatric cardiologist.Results :In this study we found that acyanotic CHD is more common than cyanotic type with VSD is accounting about 35% of cases followed by PDA 26.6% and then ASD 8.3% and TOF 8.3% ,also the study show that asymptomatic murmur is the commonest presentations of CHD in the newborn and consanguinity may be a risk factor.Conclusion: Early detection of CHD is very important for proper management so proper clinical examination and expert echocardiography is considered a gold standard for the diagnosis of CHD .Two dimensions echocardiography is also essential for the diagnosis special cardiac center should be established in our region (AL-Diwaniah)in order to manage the patient effectively without delay that may affect the out- come of the disease