Major congenital malformations in Dar es Salaam (Tanzania)

Abstract

Ninety eight cases of major congenital malformations seen in Dar es Salaam over a period of ten months are reported. The pattern of major oongenital malformations appears to be similar to that of other places. Three rare malformations one of which has been reported from other places are described. Parity alone is not associated with congenital malformations but there is a strong relation between advanced maternal age and trisomic syndromes. Also noted is the high frequency of malformations of the musculo-skeletal system in young mothers of low parity. In the study it was also noted that the aetiology of congenital malformations cannot be identified in majority of cases. Although there was great variation in the type of congenital malformation, initial maternal reactions were similar. Mothers' knowledge about the causes of congenital malformations was minimal. The majority of mothers whose babies had treatable conditions were anxious to have them treated early and continued to care for them. Birth of an abnormal child does not seem to create fear for subsequent pregnancy.