الفهرس 
AbstractOnly 14 pages are availabe for public view
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Abstract
Physical examination itself is not reliable in diagnosing CHD. ECHO can achieve specific diagnosis of CHD associated with CGM, which is noninvasive and reliable method. This study included 292 newborn infants, diagnosed as they had GIT malformations 207males and 85females, fullterm and preterm, age range from 1 day to 28 days old ,admitted in NICU of Benha Children Hospital, over a period of 3 years, from January 2007 through December 2009 .The cases divided according to the period of study into a prospective group(group A) which included 97 cases, 65 males and 32females and a retrospective group(group B) which included 195 cases,142 males and 53 females. We collected our data of the retrospective group neonates from their files, but all neonates of the prospective group were subjected to:- Full perinatal history taken with special attention to( sex, age, gestational age, age at time of examination, weight ,mode of delivery, consanguinity), • Clinical examination for clinical diagnosis of GIT malformations and detection of other congenital anomalies and for clinical diagnosis of CHD. • Echocardiographic studies which were arranged for a all newborn infants in the prospective group and for newborn infants who had murmur in the retrospective group. Our study group was divided retrospectively according to echocardiographic results into a normal group (GI) and a diseased group (GII).
As can be seen from the statically analyzed data, CHD diagnosis was established in 31/97 (31.9%) of the prospective group, and 10/195 (5.1%) of the retrospective group. The difference in the rate in diagnosis of CHD in groups A and B was statistically highly significant.
There was high significant statistical difference between prospective and retrospective groups as regard to presence of CHD. Distribution of types of CHD among our study group showed significant statistical difference for VSD and Fallot tetrology between prospective and retrospective groups also shows high significant statistical difference for ASD and PDA.
Distribution of auscultation of murmur between prospective and retrospective among diseased group (GII) showed high significant statistical difference.
Distribution of the study groups as regard to sex, age, weight, gestational age, mode of delivery and consanguinity showed insignificant distribution between prospective and retrospective groups.
Distribution of the study groups as regard to sex, gestational age, mode of delivery, consanguinity presence of chromosomal anomalies and outcome showed insignificant distribution between prospective and retrospective groups among diseased group (GII).