Page 309 - Abstract Book KONIKA 18

Neonatology

P-NEO-043
Microcephaly, Cleft Lip Palate Complete Bilateral, Atrial Septal Defect
Secundum, Patent Ductus Arteriosus, and Micropenis:
A Rare Case Report in Rural Hospital in Indonesia

Teo Wijaya, Olivia Glenny Halim, Agitha Swandaru Rastaputra
Department of Child Health, Gorontalo General Public Hospital, Gorontalo, Indonesia
Abstract
Background Cleft lip and palate is one of the most common craniofacial disorders occurring worldwide,
occurring approximately 7 to 14 in 10,000 births. Compared with the general population, patients with cleft
lip and palate were significantly associated with other congenital malformations. Objective To demonstrate
the incidence of congenital malformations associated with cleft lip and palate. Case A full-term boy was
born via an uncomplicated vaginal delivery in Otanaha Hospital. During pregnancy, the mother didn’t do
antenatal care regularly, never took vitamins, and never screened with ultrasound. The mother also has a
history of fever with rash during her 25 week gestation. He was born with APGAR score 7/8. On physical
th
examination, his head circumference was 27 cm (microcephaly) with short pupillary distance and cleft lip
palate. His heart sound was irregular with additional murmur sound. He had micropenis and rocker bottom
feet. He was referred to Aloei Saboe Hospital for multiple congenital malformations. Echocardiography
showed patent ductus arteriosus (PDA) and atrial septal defect (ASD) secundum. Due to vomiting, the
baby was fasted and an orogastric tube was applied for decompression. He was treated with broad spectrum
antibiotics, ranitidine, spironolactone, and digoxin. After 9 days of hospitalization, he was discharged and
planned to have surgery after at least 10 weeks of age. He also did regular check ups for nutrition monitoring.
Conclusion A multidisciplinary approach is essential for the appropriate management of patients with cleft
lip and palate.
Keywords: congenital malformation; cleft lip palate; congenital heart disease; multidisciplinary
treatment

P-NEO-044
The Incidence of Congenital Anomalies in Newborn
at Prof. Dr. R.D. Kandou General Hospital Manado

Regina T. Maindoka, Shekina Rondonuwu, Johnny Rompis, Rocky Wilar
Department of Child Health, Medical Faculty of Universitas Sam Ratulangi/Prof. DR. R. D. Kandou Hospital,
Manado, North Sulawesi, Indonesia

Abstract
Background Congenital anomalies are both a structural and functional abnormalities that can be identified
before, during, or after birth. It is believed to be caused by disturbances during pregnancy. The incidence
of congenital anomalies varied in different countries, the incidence of congenital anomalies in Indonesia is
around 5 in 1000 births (5%). Objective To observe most common congenital anomaly found in newborns
born in Prof. Dr. dr. R. D Kandou General Hospital. Methods This is an observational descriptive study to
investigate the incidence of congenital anomalies in newborn babies in Prof. Dr. dr. R. D Kandou General
Hospital during January-December 2019. This study also identifies body systems affected by congenital
anomalies. All live newborns during research period that were diagnosed with congenital anomalies by a
competent pediatrician were included in this study. Results From January to December 2019, there were 108
alive newborns in Prof. Dr. dr. R. D Kandou General Hospital were diagnosed with various type of congenital
anomalies. Cardio thoracal system, central nervous system, gastro intestinal system, musculoskeletal
system and chromosomal abnormalities were the body systems affected by congenital anomalies in the
sample. The most commonly identified systems were cardio thoracal system (50 %), followed by gastro
intestinal system (29.63%). Conclusion The majority of live newborns with congenital anomalies in
Prof. Dr. dr. R. D. Kandou General Hospital have their cardio thoracal system affected.
Keywords: congenital anomalies; incidence; newborn baby

KONIKA XVIII Abstract Book 261