View report page

Heart and great vessels
Transposition of great vessels 1
Other defects of heart and great vessels 1
Congenital heart disease NOS 1
Respiratory system
Defects of bronchus 1
Defects of lung 1
Uro-genital system
Hypospadias, epispadias 6
Other defects of male genitalia 1
Defects of female genitalia (includes
female psuedo-hermaphroditism) 1
Indeterminate sex (includes true
hermaphroditism) 1
Limbs
Reduction deformities 1
Polydactyly 1
Syndactyly 1
Dislocation of hip 1
Talipes 12
Other defects of hand 3
Defects of upper limb NOS 1
Defects of lower limb NOS 2
Other skeletal
Defects of skull and face 1
Other systems
Branchial cleft, cyst or fistula, pre-auricular
sinus 1
Other defects of skin (including ichthyosis
congenita) 2
Other malformations
Mongolism 3
NOS = Not otherwise specified
For our own purposes, the only children we follow
up are those whose defect is likely to be a
handicap to them in their future progress.
As the notifications are made within the first
48 hours of birth, often before a doctor has
examined the baby, it is possible that a
considerable number of congenital defects are
not notified by this method, notably such
conditions as pyloric stenosis, fibrocystic disease,
various congenital heart defects and various renal
defects. We therefore still rely upon the hospital
paediatricians for their co-operation with regard
to notifying these defects.
Observation Register
In the summer of 1965 a scheme was developed
in co-operation with consultant obstetricians and
paediatricians at local maternity hospitals whereby
this department was notified at birth of children
whom it is considered should be kept under
observation because of pre-, peri- or post-natal
hazards. The names of such children and those
born at home considered by domiciliary midwives
to be in need of observation for the same reasons
have been recorded in the observation register.
The children are called for developmental
screening tests at the ages of 1 month, 3 months,
7-9 months, 12 months, 18 months, 2 years,
2\ years, 3 years and 4 years. The tests include
hearing, vision, social and emotional development,
sitting up, walking, use of hands and language
development.
The screening tests are conducted for the most
part in child health clinics during normal sessions
although mothers attend by appointment for these
examinations.
At the end of December 1967 a total of 2,638
children's names had been placed on the register
as in need of further observation. At this date
1,692 names remained on the register, and during
the 2\ years of operation, of the 38 children who
failed a significant number of tests, only 6 were
already known to have a definite handicap. The
work has not yet proceeded far enough to enable a
full appraisal to be made of the various findings
and it is anticipated that this will not be embarked
upon for another year or two. Meantime it can be
said with confidence that the establishment of the
32