Penelitian Penyakit Jantung Bawaan pada Bayi Baru Lahir di Beberapa Rumah Sakit di Indonesia

Harimurti, Ganesha (1997) Penelitian Penyakit Jantung Bawaan pada Bayi Baru Lahir di Beberapa Rumah Sakit di Indonesia. Project Report. Center for Research and Development of Disease Control, NIHRD.

Abstract

In prospect of further effective management of congenital heart disease (CHD), an assessment of significance to the problem of CHD is needed. A survey has been conducted in a 6 month period in 1996 in maternity ward of 4 general hospitals and 2 maternity hospitals, to determine the prevalence of CHD in live newborn infant. This of is the first part of new years survey. The newborn infant was examined by a paediartrician, maternity data recorded were age of both parents, history of previous pregnancy, and various factors suspected of possible etiology. If CDH were suspected, the infant will be further evaluated by the cardiologist. The newborn infants studied were 3069, 55.7% male and 44.3% female 28 (9.1 per 1000) infants had CHD. PDA were found in 12 infants (42.9%), 6 were premature. VSD were found in 8 (28.6%), ASD in 3 (19.7%), CAVSD in 3.6 %, and valvular PS in infants had cyanotic CHD (10.7%), I with TGA, the other two with complec cyanotic CHD. Down's syndrome was fount in i with ASD, I was infant of diabetic mother. Only one mother has her baby at age of more than 40 yers, the infant had CAVSD. One infant was born from father with CHD , not one from 4 mothers with CHD had infant with CHD. Atrial fibrillation was found in one infant, no defect was found. From 28 CHD infant, 4 died (14.3%) during 5 days observation, one of these deaths (25%) was CHD-related. Maternity data showed thad mother who did not consumpt vitamin B regularly during early pregnancy had 3 times risk of having CHD infant compared to mother who did (p<0.05). Smoking significantly posed as a risk factor for CHD, 37.5 times (p<0.05). Other risk factors were not statistically related.

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