BackgroundCongenital anomalies are development defects associated with causes present before, during and after conception. Globally they affect 2-3% of all newborns, and are between second and fifth place as cause of infant mortality in Latin America. ObjectiveTo determine risk factors associated with birth defects in infants in three health institutions in Popayan, Cauca. MethodsA case-control study with incident cases was carried out. The study population was all infants of the three participating institutions during a 10 month period. The sample size was 87 cases (case:control ratio, 1:1). Sociodemographic variables, current and previous history of pregnancies, and environmental and infectious exposure were measured. Statistical analyses were based on description of frequencies and means, bivariate analysis and measures of association (disparity ratio and χ2). ResultsNinety-eight cases and 98 matched controls were included; 26.5% came from urban areas and 86.7% belonged to lower socioeconomic strata. The most frequent congenital anomalies were of multi-systemic type (18.4%), gastrointestinal (14.3%), and cardiovascular, musculoskeletal and craniofacial (11.2% each). Twenty-four cases died. The bivariate analysis showed associations between congenital anomalies and consumption of folic acid from first trimester (OR=0.8; 95% CI 0.67-0.94), exposure to electrical transformers (OR=1.7; 95% CI 1.1-2.8), consanguinity/origin of a same village (OR=1.4; 95% CI 1.0-1.9), and maternal age greater than or equal to 35 years (OR=1.4; 95% CI 1.0-1.9). ConclusionCongenital anomalies are a major cause of child morbidity and mortality, and are often associated with factors likely to be identified and even prevented.
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