Place & Person involved in delivery: Factors leading to delay in diagnosis of Anorectal Malformation in Newborns

  • Shazia Perveen Jinnah Sindh Medical University
  • Sajid Ali
  • Abdul Jabbar
  • Batool Fatima
Keywords: Anorectal Malformation, Delayed diagnosis of Anorectal malformations, Hospital delivery, Home delivery, Person detecting Anorectal Malformations

Abstract

Objective: To determine the frequency of place of delivery and person detecting the anomaly among newborn babies presenting with delayed diagnosis of anorectal malformation (ARM).

Methods: This is a Descriptive Cross-Sectional Study, conducted at Department of Paediatric Surgery, National Institute of Child Health (NICH) Karachi, from February 19, 2019 to August 18, 2019. All patients with ARM who were diagnosed beyond two hours of life (Delayed diagnosis) were included in the study. Chi square test was applied for comparison of categorical variables.

Results: Total 110 patients were enrolled in this study. Nineteen (17.3%) patients were delivered at home, while 91 (82.7%) were delivered at the hospital. The first person detecting the anomaly was grandmother (n=25) or a non-medical person in 58 patients (52.7%), 52 were diagnosed by a medical personal either primarily in 31 cases (28.2%) or secondarily by a neonatologist in 21 cases (19.1%).

Conclusion: It is concluded that Non-medical person detected ARM mainly despite the babies being delivered mostly at the hospital, indicating the need for meticulous neonatal examination.

doi: https://doi.org/10.12669/pjms.38.1.4156

How to cite this:
Perveen S, Ali S, Jabbar A, Fatima B. Place & Person involved in delivery: Factors leading to delay in diagnosis of Anorectal Malformation in Newborns. Pak J Med Sci. 2022;38(1):297-301. doi: https://doi.org/10.12669/pjms.38.1.4156

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2021-11-23
How to Cite
Perveen, S., Ali, S., Jabbar, A., & Fatima, B. (2021). Place & Person involved in delivery: Factors leading to delay in diagnosis of Anorectal Malformation in Newborns. Pakistan Journal of Medical Sciences, 38(1). https://doi.org/10.12669/pjms.38.1.4156
Section
Original Articles