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Potential Conditions in a Neonate

  • Structural
    • Palatal anomalies – 81%
      • High, arched or narrow
    • Cardiac abnormalities – 47% by Echo and ECG
      • Most common: PDA 17%, VSD 14%, PFO 7%, ASD 5%. None of these required
        surgery as most of these closed spontaneously
      • Other less occurred cardiac anomalies have included : hypoplastic transverse aortic
        arch; right ventricular hypertrophy; pulmonic stenosis; and valve abnormalities
    • Congenital orthopedic abnormalities – 45%
      • Club foot – 14%
      • Vertical talus – 5%
      • Metatarsus adductus – 5%
      • Rocker bottom foot – 5%
      • Hip dysplasia – 17%
    • Hernias (hiatal, inguinal, umbilical) – 12%
    • Myelomeningocele – 7%
  • Functional
    • Feeding problems – 83%
      • Due to hypotonia, high arched palate or gastroesophageal reflux
    • Respiratory distress – 31%
  • Biochemical
    • Jaundice – 57%