Descriptive Study: Congenital Malformations in Pediatric Patients of a Public Maternity Hospital of the City of Manaus, Amazonas

The Pan American Health Organization (PAHO) defines congenital malformation as any functional or structural anomaly in the development of the fetus, due to factors originating before birth, whether genetic, environmental or unknown. The aim of the present study was to identify the frequency of malformations, the type of congenital malformations and to correlate this with risk factors in live-born infants, using SLB data. The data were collected through consultation of the medical records of live-born infants of the Balbina Mestrinho Maternity Hospital, 15,621 live births were reported, of which 248 (1.58%) presented congenital malformations. There was a higher prevalence of malformations among live-born males (49.7%), with Apgar ≥ 7 at the first and fifth minute, gestational age ranging from 37-41 weeks, with 46% being born with appropriate weight between 3,000-4,000 g. The association of two or more defects was observed in 38.7% of the total cases and isolated anomalies in 67.3%, with predominance of alterations of the digestive system (26.3%), followed by malformations of the musculoskeletal system (21.2%), nervous system (20.2%) and cleft lip/cleft palate (9.1%). The results presented here may guide strategic actions to improve care for families of people with congenital malformations.