Congenital anomalies: factors associated with maternal age in municipality south Brazil, from 2000 to 2007

Abstract

Congenital anomalies (CA) constititute important cause of child morbimortality. It was objectified to characterize CA carries residing in the municipality of Maringá in the period between 2000 and 2007 associanting with maternal age. Data were collected from the Information System on Live Births (SINASC) and the Information System on Mortality (SIM). Of the total of births, 246 (0.8%), being 100 (41%) had anomalies of the muscle-skeletal system, 39 (16%) of the central nervous system, 33 (13%) had a cleft palate, 23 cases (9%) of anomalies of the urogenital system and 51 cases (21%) for the chromosomic, digestive, cardiovascular anomalies, head and neck. The mother’s age was used as outcome variable in the attempt to explain the occurrence of the CA and the variable that had presented statistical significance in relation to the mother’s age were: multiple births, marital status, male newborn and Apgar <7 at the fifth minute. With average 34 deaths per year, 70% of cases occurred in children under one year being the most frequent cause cardiovascular system (40%).There was an average of 34 deaths per year, and children less than one year old represented 70% of cases. The most frequent causes of death from CA were in the cardiovascular system (40%) and central nervous system (12%). Such studies contribute to rationalizing the allocation of resources bases on strategies structured on legitimate information.

Descriptors: Congenital abnormalities; Live births; Child mortality; Pediatric Nursing.