Birth Defect: An Over view

N. Begum, S. Mahmood, P. S. Nahar, S. Islam, B. S. Naher, A. Huq
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Abstract

Birth defects are a leading cause of infant death, accounting for more than 1 of every 5 infant deaths. Every year more than 8.14 million children are born with a serious birth defect, due to genetic or environmental causes. In the low and middle income countries the burden of birth defects is much higher than in highincome countries. Birth defects may be due to chromosomal, single-gene or multifactorial causes. Environmental factors are responsible for 5–10% of total birth defects, and include nutritional deficiencies, infectious diseases, maternal medical conditions, teratogenic medications, alcohol, recreational drugs, and teratogenic pollutants. Birth defects can be diagnosed during pregnancy or after the baby is born, depending on the specific type of birth defect. Of course, many birth defects cannot be prevented; this is especially true of defects that have a genetic component. However, ultrasonography and maternal serum screening can be used to detect serious foetal anomalies, including neural tube defects and chromosomal disorders. Early detection and treatment of birth defects can help prevent stillbirth or physical and intellectual disabilities. J. Paediatr. Surg. Bangladesh 4 (2): 58-66, 2013 (July)
出生缺陷:概观
出生缺陷是婴儿死亡的主要原因,占婴儿死亡人数的五分之一以上。由于遗传或环境原因,每年有超过814万儿童出生时患有严重的先天缺陷。在低收入和中等收入国家,出生缺陷的负担远高于高收入国家。出生缺陷可能是由染色体、单基因或多因素引起的。环境因素占出生缺陷总数的5-10%,包括营养缺乏、传染病、产妇医疗条件、致畸药物、酒精、娱乐性药物和致畸污染物。根据出生缺陷的具体类型,可以在怀孕期间或婴儿出生后诊断出出生缺陷。当然,许多先天缺陷是无法预防的;对于有遗传成分的缺陷尤其如此。然而,超声检查和母体血清筛查可用于检测严重的胎儿异常,包括神经管缺陷和染色体疾病。早期发现和治疗出生缺陷有助于预防死产或身体和智力残疾。j . Paediatr。孟加拉外科4 (2):58-66,2013 (7)
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