الفهرس 
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Abstract
Birth defects are a major cause of infant mortality and childhood morbidity. Birth defects are also responsible for large numbers of embryonic and fetal deaths. The appropriate treatment of liveborn infants with significant birth defects makes heavy demands on health care resources. The epidemiological approach to birth defects has been the backbone of research into their causes. For this reason we decided to perform this registry in a trial to put the scope on infant’s number one killer.
In the neonatal surgery unit in Ain-Shams University hospitals, neonates suffering of surgical problems during the period from 1/8/2010 to 1/2/2011 were registered. We focused on those conditions of neonates which would be managed by the general pediatric and neonatal surgeons, excluding conditions affecting the cardiovascular, orthopedic and nervous systems.
Our registry comprised 218 neonates out of which a total of 58 Cases (26.6%) were admitted for neonatal surgical problems.
Analysis of our patients revealed that the most common entity was intestinal atresia (32.7%) followed by abdominal wall defects (18.9%), anorectal malformations (18.9%), esophageal atresia (10.3%), urological malformations (6.8%), Hirshsprung disease (5.2%), CDH (1.7%) and other anomalies (5.5%).
Common diagnostic tools performed were PAUS, PXR abdomen erect and cross table lateral views and contrast studies.
There were 34 males and 24 female included in our registry; male to female ratio 1.4:1.
Among patients included in our registry there were 19% preterm, 15.5% near term and 65.5% full term.
Mortality was 31% among our patients which is still very high necessitating giving a high priority to the field of neonatal care. Registration of patient’s data is to be continued to have more data about neonates outcome, complications and follow up. Building up a prenatal counseling program may enable us to detect congenital malformations prenatally may improve the outcome.