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Antenatal detection of pediatric surgical congenital abnormalities and its effect on maternal anxiety: a multicentre prospective study in a middle-income country

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Topic overview

This Malaysian multicentre study demonstrates that middle-income countries can achieve antenatal detection rates for surgical congenital abnormalities comparable to high-income nations (43.1%), despite resource constraints. However, pediatric surgeon involvement in prenatal counseling remains minimal and shows no significant impact on maternal anxiety levels.

Key takeaways

  • Malaysian tertiary centers achieved 43.1% antenatal detection rate for surgical congenital abnormalities, comparable to high-income countries.
  • Only 6.9% of mothers received antenatal counseling from pediatric surgeons, representing a significant gap in prenatal care coordination.
  • Antenatal counseling by pediatric surgeons showed no significant reduction in maternal anxiety scores (p=0.374) in this cohort.
  • Middle-income healthcare systems can deliver high-quality prenatal detection despite resource constraints with existing ultrasound infrastructure.
  • Integrating pediatric surgical teams earlier in antenatal counseling pathways may improve care quality beyond anxiety reduction alone.

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How to cite: GlobalCastMD. Antenatal detection of pediatric surgical congenital abnormalities and its effect on maternal anxiety: a multicentre prospective study in a middle-income country. GlobalCastMD Medical Library. 2024-12-28. https://dev.library.globalcastmd.com/article/9585?via_space=staycurrentmd

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