1.Management of neonatal jaundice in primary care
Angeline Wan Seng Lian ; Suzaini Mat Daud ; Teh Siao Hean ; Choo Yao Mun ; Fazila Mohamed Kutty
Malaysian Family Physician 2016;11(2 & 3):16-19
The Clinical Practice Guidelines on Management of Neonatal Jaundice 2003 was updated by a
multidisciplinary development group and approved by the Ministry of Health Malaysia in 2014. A
systematic review of 13 clinical questions was conducted using evidence retrieved mainly from Medline
and Cochrane databases. Critical appraisal was done using the Critical Appraisal Skills Programme
checklist. Recommendations were formulated based on the accepted 103 evidences and tailored to local
setting as stated below.
2.Mortality in Children Under 5: Prevalence of Congenital Malformations and its Associated Demographic Variables
Lim Ming Tsuey ; Rozita Zakaria ; Norsiah Ali ; Nurainul Hana Shamsuddin ; Norseha Isnin ; Siti Hafsah Abdul Halim ; Aminah Bee Mohd Kasim ; Rozita Abd Rahman ; Fauzia Abd Majid ; Kok Sim Hui ; Norizzati Ismail Bukhary ; Rawa Bau ; Suzaini Mat Daud
International Journal of Public Health Research 2017;7(2):871-877
Congenital malformations (CM) comprise a wide range of abnormalities of body structure or function that are present at birth and are of prenatal origin. It has contributed to a significant proportion of infant morbidity and mortality. The aims of this study were to determine the extent and investigate the relationship between CM and its associated demographic variables. Data was extracted from Ministry of Health (MOH) database compiled from the reports on Stillbirth & Under 5 Mortality from year 2013 to 2014. Out of 9,827 child death, 2,840 (28.9%) were classified under CM as defined under ICD-10 classification. Majority of those with CMs died at neonatal stage (62.7%) and among mothers aged between 20 to 35 years old (67.3%). The mean age of mothers among CM children was 30.8±6.5 years old. Approximately 5.8%, 6.7% and 3.3 % of total CM were neural tube defects, heart defects and hydrops fetalis respectively. The prevalence of CM in males was 15% higher than females. The difference were evident between CM and age of death of children under 5 years old (p<0.001) as well as between CM and maternal age groups (p<0.001). CM is responsible for 28.9% of total causes of child death with higher occurrence of malformation in males. A significantly higher risk of CMs among mother aged between 20 to 35 years old was observed. This emphasises the importance of raising awareness and the need to strengthen appropriate response for surveillance and prevention program of common CM in Malaysia.