Structural Defects Flashcards
Congential means
born with
What is the rate of congenital defects
1 in 33
What is the most common cause of death in the first year
death from complications related to congenital defects
Anomoly
Deviation from normal - general term
Defect
Imperfection, lacking, deficient - general term
Morpogenesis
The development of a specific organ or tissue
Malformation
primary morphogenesis error, intinsic abrnormal development
anencephaly
born missing parts of the brain and skull - typically missing frontal and cerebral cortex, has neural tube defects - can be caused by lack of folate
Disruptions
secondary destruction of a previously normal organ system by a internal biologic factor i.e. amniotic band
Deformation
abrnomality caused by applied abnormal force to the fetus
What are the results of amniotic bands
caused by rupture of amniotic sac that causes fibrous bands that constricts limbs and blood flow, resulting in distal hypoplasia or amputation
Club feet: disruption or deformation?
Deformation - caused by in utero compression
Maternal causes of deformations
- First pregnancy
- small uterus
- malformed uterus
- leiomyomas
Fetal/placental causes of defomrations
oligohydramnios
multiple gestations
abnormal fetal presentation during deliveruy
Isolated defects
Single defect that accounts for 50-60% of al defects, usually only one organ system affected
Grouping defects - what are the three types
Sequence
Syndrome
Association