Special screening for defects in low weight neonates

Congenital defects should be checked in every infants with weight smaller than their gestational age. According to D. Oriot, birth defects account for 15-18% of cases of fetal malnutrition and infection is most common in pregnancy of the mother [11].
Neonatal infection can be classified into two types: early neonatal infection transmitted maternal - fetal and postnatal acquired infection. These two catastrophes  occur in the neonatal period with similar clinical symptoms but the causes, transmissions, managements and treatments are quite different [2].

In neonatal infection acquired our early detection and treatment of newborns free from the disease, but infection transmitted by the mother can cause birth defects. As directive 04 issued by the Ministry of Health in 10/2003, highlights four causes of death early newborn period in our country: Asphyxia, neonatal infections, birth defects, premature birth and other major complications encountered during feeding, infant mortality rates particularly early neonatal period may have tended in recent years in remission, still at 25-30 ‰ by the World Health Organization [10].

To screen for abnormal neonatal problems need to coordinate with fetal diagnosis of this problem was made in the advanced countries in the world, but for the developing countries hope that soon medical industry done in the future, now care for mothers during pregnancy, pregnancy management can also detect early infants with anomalies that originated from the mother at the health facilities is very necessary and really not difficult at all when there are local health care programs until the clinic. Research for one year from July 4/2009- 4 / 2010 at the Department of Children's Hospital neonatal Can Tho total 1255 neonates hospitalized in the first week with 62 cases of babies born with birth defects in the emergency department resuscitation of infants accounted for 4.9% rate [1], not to mention the young have defects that are not admitted early in the first week may be affected by disease or children who have severe deformities were dead in maternity or pregnancy, or deformed children without hospitalization, so the rate of true birth defects can also be higher than the statistics on most children with gastrointestinal malformations: hiatal hernia, esophageal atresia, evisceration, bowed legs, congenital heart diseases, harelip,  palate cleft, or multi-defects ..... 

In fact, low weight neonate needs to be managed carefully for defects with detailed history asked.