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Encyclopedia of Health and Medicine

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10 Preventive <strong>Medicine</strong><br />

COMMON BIRTH DEFECTS<br />

Birth Defect <strong>Health</strong> Risk to Infant Preventive Measures<br />

cleft defects (crani<strong>of</strong>acial negligible with reconstructive surgery possibly folic acid supplementation<br />

clefts) difficulty nursing, eating, <strong>and</strong> with speech GENE mutations have been identified<br />

when uncorrected<br />

FETAL ALCOHOL SYNDROME (FAS) mild to moderate physical deformities, abstinence from ALCOHOL during PREGNANCY<br />

mental retardation, <strong>and</strong> BEHAVIORAL DISORDERS is fully preventive<br />

genitourinary defects negligible with reconstructive surgery none known<br />

EPISPADIAS absence <strong>of</strong> both kidneys is usually fatal gene mutations have been identified<br />

HYPOSPADIAS<br />

KIDNEY deformities<br />

INFECTION mild to severe deformities, depending on vaccination for measles, rubella, <strong>and</strong><br />

CHICKENPOX gestational age at time <strong>of</strong> infection chickenpox prior to pregnancy<br />

CYTOMEGALOVIRUS (CMV) blindness avoid contact with cat feces (such as through<br />

MEASLES<br />

cleaning litter boxes or h<strong>and</strong>ling dirt<br />

RUBELLA<br />

outdoors) <strong>and</strong> with uncooked meat to<br />

TOXOPLASMOSIS<br />

prevent toxoplasmosis<br />

HERPES<br />

frequent HAND WASHING to reduce risk for<br />

infectious diseases in general<br />

major HEART defects significant, with high risk for death none known<br />

hypoplastic left heart lifelong complications remain even with comprehensive PRENATAL CARE for early<br />

syndrome (HLHS) successful surgery detection <strong>and</strong> treatment planning; infant will<br />

tetralogy <strong>of</strong> Fallot these defects are the leading reason for heart require emergency treatment at birth<br />

transposition <strong>of</strong> the great transplantation in children gene mutations have been identified<br />

arteries (TPA)<br />

minor heart defects negligible with appropriate treatment none known<br />

ATRIAL SEPTAL DEFECT (ASD) (usually surgical repair) comprehensive prenatal care for early<br />

PATENT DUCTUS ARTERIOSUS<br />

detection <strong>and</strong> treatment planning<br />

(PDA)<br />

gene mutations have been identified<br />

VENTRICULAR SEPTAL DEFECT<br />

(VSD)<br />

NEURAL TUBE DEFECTS significant folic acid supplementation before CONCEPTION<br />

anencephaly anencephaly is always fatal through the first 28 days <strong>of</strong> pregnancy cuts<br />

SPINA BIFIDA spina bifida <strong>of</strong>ten causes deformity <strong>and</strong> risk in half<br />

lower body PARALYSIS, including loss <strong>of</strong> bowel many health experts recommend all women<br />

<strong>and</strong> BLADDER function<br />

<strong>of</strong> childbearing age take folic acid<br />

supplements (400 micrograms per day)<br />

gene mutations have been identified

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