"FREQUENCY AND MANAGEMENT OF ANENCEPHLY AT SHEIKH ZAYED HOSPITAL, RAHIM YAR KHAN"

Abstract

Anencephaly is the commonest neural tube defect. The world incidence is 1-5/1000.

Objective: To ascertain the frequency and management protocol of Anencephaly at Sheikh Zayed Hospital, Rahim Yar khan.

Materials and Methods: This prospective study was carried out over a period of one year from January, 2013 to December, 2013 at Sheikh layed Hospital, Rahim Yar Khan. All the patients having fetuses with anencephaly admitted in labour room / obstetric ward of Sheikh layed Hospital were selected as subjects. Those women who delivered normal babies were taken as control subjects. A proper history was taken from each subject and all the relevant information were recorded on a proforma. Results analyzed on SPSSversion 16.

Results: Twenty one patients were enrolled during the study period. The mean age was 30.5 years range (18-40). Twelve patients (57.14%) were multigravida. Nineteen patients (90.47%) were unbooked. The mean gestational age was 28+2weeks. Induction was palnned in 85.71%. Most of the cases 71.43% were delivered through normal vaginal delivery after induction. Additional malformation such as meningocele, cleft lip, spina bifida, cleft palate hepatosplenomegaly, talipes aquina valgus occur in 42.86% cases.

Conclusion: Anencephaly is the most common congenital anomaly reported in Sheikh laved Hospital, Rahim Yar Khan. Complication can be prevented by implementing screening program for early diagnosis, treatment and managements. Prevalence can be decreased by folic acid supplementation periconceptionally.