Interventions for Congenital urogenital anomalies

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Age Cohort: Pregnancy and newborn
Health Promotion Disease Prevention Diagnostic Curative Rehabilitative Palliative
Community Level
  • Educate adolescent girls and mothers to have a healthy diet including adequate dietary intake of vegetables and fruit, vitamins and minerals particularly folic acid, and maintain a healthy weight
  • Educating and counselling parents and community on addressing stigma attached with congenital abnormalities
  • Adequate dietary intake of vitamins and minerals, folic acid, variety of vegetables and fruit, and maintain a healthy weight for adolescent’s girls and mothers
  • Avoid harmful substances, particularly alcohol and tobacco during pregnancy
  • Reduce or eliminating environmental exposure to hazardous substances (such as heavy metals or pesticides) during pregnancy, Primary level
  • Recognition of Congenital musculoskeletal and limb anomalies signs and symptoms
  • Immediate transfer of congenital anomalies to a higher-level health care facility
  • Home based physiotherapy and occupational therapy
  • Psychological and social support to parents of babies with birth-related defects
Primary Care
  • Raise awareness on the importance of birth defects as a cause of child morbidity and mortality
  • Educate adolescent girls and mothers on healthy diet and consumption of foods rich in natural folates
  • Information education and communication on harmful substances, particularly alcohol and tobacco
  • Education to minimize exposure of pregnant women and workers in their workplace to risk factors for congenital anomalies (chemical, physical and biological
  • Avoiding teratogenic medications during pregnancy
  • Measles-rubella (MR) vaccine
  • Screening and treatment of infections, especially rubella, varicella and syphilis
  • Recognition of Congenital urogenital anomalies signs and symptoms
  • Immediate transfer of suspected congenital anomalies to a higher-level health care facility
  • Physiotherapy and occupational therapy
  • Comprehensive and holistic care for the long-term management of problems associated with the congenital abnormality
  • Psychological and social support to parents of babies with birth-related defects
Referral Facility: General
  • Raise awareness of health professionals on the importance of new born screening for early identification of infants born with congenital birth defects
  • Correction of some endocrine and metabolic abnormalities such as diabetes, hypothyroidism before conception
  • Appropriate use of fortified foods
  • Avoiding teratogenic medications during pregnancy
  • History
  • Physical exam
  • X-ray
  • Immediate transfer of congenital anomalies to a higher-level health care facility
  • Physiotherapy and occupational therapy
  • Comprehensive and holistic care for the long-term management of problems associated with the congenital abnormality
  • Psychological and social support to parents of babies with birth-related defects
Referral Facility: Specialist
  • Raise awareness of health professionals on the importance of new born screening for early identification of infants born with congenital birth defects
  • Correction of some endocrine and metabolic abnormalities such as diabetes, hypothyroidism before conception
  • Avoiding teratogenic medications during pregnancy
  • Genetic testing and counselling for families at risk
  • History
  • Physical examination
  • Urine test
  • Renal function test
  • X-ray
  • Ultrasonography (pre and post-natal)
  • Voiding cystourethrogram (VCUG)
  • Computerized tomography (CT)
  • Magnetic resonance imaging (MRI)
  • Renal scan
  • Kidney biopsy
  • No treatment
  • Antibiotics
  • Surgical repair
  • Dialysis
  • Kidney transplantation
  • Physiotherapy and occupational therapy
  • Comprehensive and holistic care for the long-term management of problems associated with the congenital abnormality
  • Psychological and social support to parents of babies with birth-related defects