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Birth Defect Clinic - An Integrated Approach to the Management of 1549 Antenatally Diagnosed Anomalies in a Tertiary
Sandesh Vinod Parelkar1, Deepa Prashant Makhija1, Beejal Sanghvi1
1Department of Paediatric Surgery, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.
Insights
A multidisciplinary Birth Defect Clinic (BDC) offers integrated care for congenital anomalies. This approach improves patient management and outcomes for birth defects.
Area of Science:
- Perinatology
- Pediatric Surgery
- Medical Genetics
Background:
- Birth defects significantly contribute to neonatal and under-five mortality.
- Most diagnosed birth defects require multidisciplinary specialist referrals.
- A dedicated Birth Defect Clinic (BDC) was established to centralize specialist care.
Purpose of the Study:
- To evaluate the effectiveness of a multidisciplinary Birth Defect Clinic (BDC).
- To assess the management of antenatally diagnosed congenital anomalies within a BDC setting.
Main Methods:
- Retrospective analysis of 1549 antenatal patients counseled at a BDC.
- Data collected included epidemiology, prognosis, management, and follow-up outcomes.
- Analysis of patient data for effectiveness of integrated care.
Main Results:
- Genitourinary (35.95%), cardiovascular (21.82%), and central nervous system (19.75%) anomalies were most common.
- Postnatal follow-up was achieved in 61.8% of patients; 21.5% had no postnatal evaluation.
- Medical Termination of Pregnancy (MTP) was performed in 12.58% of cases.
Conclusions:
- The Birth Defect Clinic (BDC) facilitates a comprehensive, integrated approach to birth defect management.
- This integrated model has the potential to enhance patient care and improve outcomes for congenital anomalies.
- Multidisciplinary BDCs are effective in managing complex antenatal diagnoses.
Background:
Birth defects are a significant contributor to neonatal and under-five deaths. The majority of birth defects, once diagnosed, need multidisciplinary referrals. A Birth Defect Clinic (BDC) was therefore initiated as a one-stop clinic where all concerned specialists are available at the same place and time. An integrated approach to managing birth defects can possibly improve patient care and outcomes.
Objective:
The objective of the study was to evaluate the effectiveness of a multidisciplinary BDC in managing antenatally diagnosed congenital anomalies.
Materials And Methods:
A retrospective study of 1549 antenatal patients counseled at the BDC was conducted. Data on epidemiology, prognosis, management options, and follow-up outcomes were analyzed.
Results:
The most common anomalies diagnosed were of the genitourinary system (35.95%), followed by cardiovascular system (21.82%), central nervous system (19.75%), and gastrointestinal (7.74%) anomalies. 61.8% of patients could be contacted for postnatal follow-up, with 21.5% not undergoing any postnatal evaluation. 12.58% of patients underwent Medical Termination of Pregnancy.
Conclusion:
The BDC provides a comprehensive and integrated approach to managing birth defects, improving patient care and outcomes.
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