LITERATURE REVIEW OF THE INCIDENCE OF CONGENITAL MALFORMATIONS ON THE FACE AN HEAD OF NEW BORN BABIES

Congenital malformations are anatomical or structural abnormalities present at birth. They may be macroscopic or microscopic, on the body or within the body depending on the mode of presentation. The major congenital malformations result in mortality (death) and significant morbidity (unwholesomeness of feelings or ideas), while the minor congenital malformations will not affect life prospectus or expectancy (Young, 1992). Teratology is the study of birth defects and their causes and includes investigations pertaining to both structural and
behavioral abnormalities.  (Young, 1992) also reports that the figures of the incidences in the neonate period represent only a part of the actual incidence of congenital malformations.

           (Sadler, 1990) examined the relationship between defects in pregnancy and the development of congenital malformations, in population based retrospective study using birth certificate data for all life born children in his research.

           Births to mothers with established and congenital defects numbered 1511 and 8869 respectively. For comparison, Sadler selected 8934 births to mothers without defects. The prevalence of congenital malformations in these areas were 7.2%, 2.8% and 2.1% among others with established defects, congenital defects and without defects. Newborn of mothers with established defects were more likely to have a congenital malformation than newborns of non-defective mothers.

            In contrasts, there was only a slight higher prevalence of congenital malformation among newborn of mothers with congenital malformations. The association with maternal established defect was greater for neonates with multiple malformations than for single malformations (Sadler, 1990).

             The percentage of occurrences of anomalies across the world reflects the geographic area for which it came from. The percentage given by Merck from the USA is 3-4% and may rise to 7% by age 5 (Merck, 2003).  In Ebonyi State, Nigeria. Studies show that there is an infant mortality rate of 85% per thousand life births and a high rate of still births (Nigerian fertility survey, 1981-1982). The number or percentage of malformations would probably be much higher as most spontaneously aborted pregnancies are as a result of malformations. (Young, 1992) stated that 15% of all recognized pregnancies with abnormalities result in spontaneous abortion before 12 weeks with 80% of spontaneously aborted embryos having major disturbances of development as a result of non-viable cytogenetic abnormality.
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