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Here’s a clear, concise summary of the study on congenital malformations in neonatal cases from Tangier:
3 Points – Congenital Malformations in 101 Neonatal Cases
Authors: F. Tahiri, S. Zouini, K. Ettoini, M. Zouine, L. Chater, A. El Madi, A. Oulmaati
Study Overview
Setting: Neonatal Intensive Care Unit, Mohammed VI University Hospital, Tangier, Morocco
Period: April 2023 – July 2024
Sample: 833 newborns; 101 cases with congenital malformations (hospital frequency: 12.12%)
Key Findings
Maternal Characteristics & Risk Factors
Mean maternal age: 31.3 years; parity: 2.66
Chronic maternal diseases: 22.8% (diabetes 10.9%, hypertension 5.9%)
Iron/folic acid supplementation: 62.4%
Prenatal consultations ≥3: 56.4%
Family history of malformations: 7%; parental consanguinity: 22% (first-degree 18%)
Predominantly urban origin: 89.1%
Types of Congenital Malformations
Type Cases Percentage Polymalformative syndromes 58 23.77% Cardiovascular malformations 52 21.31% Digestive/abdominal wall 49 20.08% Face and neck 24 9.83% Central nervous system 19 7.78% Osteoarticular 15 6.14% Urogenital/renal 12 4.91% Oral cavity 9 3.68% Skin 3 1.22% Respiratory 3 1.22% Most frequent cardiovascular malformation: patent ductus arteriosus
Most frequent digestive malformation: esophageal atresia
Most frequent CNS malformation: hydrocephalus
Most frequent osteoarticular malformation: clubfoot
Diagnosis, Management & Outcomes
Mean age at diagnosis: 3.98 days
Diagnostic tools: Ultrasound, X-ray, CT/MRI, echocardiography
Care: Surgical (59 cases), medical (30 cases), psychological support (11 parents), genetic counseling (12 parents)
Mortality: 35 newborns did not survive hospitalization
Discussion & Public Health Implications
Global Context: Congenital malformations affect 5–10% in LMICs; WHO estimates 6% of births worldwide
Risk Factors: Maternal chronic disease, consanguinity, poor prenatal care, urban residence, inadequate supplementation
Prevention: Emphasis on prenatal care, folic acid supplementation, genetic counseling, antenatal diagnosis, and multidisciplinary care
Prognosis: Depends on type of malformation and quality of care; functional disabilities and mortality remain high without specialized intervention
Conclusion
Polymalformative syndromes, cardiovascular, digestive, face/neck, and CNS malformations dominate in Tangier.
Early diagnosis, prenatal monitoring, and a multidisciplinary approach are essential for improving outcomes.
Public health strategies should target consanguinity screening, pregnancy monitoring, and access to antenatal diagnosis.
If you want, I can also create a visual summary chart showing the frequency of malformations and risk factors, which makes this data much easier to digest at a glance. Do you want me to do that?
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