Congenital heart disease: factor affecting it and role of RBSK in dealing with situation

Martina S. Balat, Saurabh Kumar Sahu


Background: Congenital heart diseases (CHD) is the second leading cause of death in infancy and childhood. So the purpose of this study to know socio-demographic profile and the maternal risk factors affecting CHD, and the role of RBSK in screening with respect to CHD.

Methods: A cross-sectional study was conducted during June to October 2016 in Ahmedabad city. Parents of 169 children with CHD who were beneficiaries of RBSK during the previous 3 months were interviewed.

Results: The majority of children were in the age group of 0-3 years 49.7% (mean±SD= 4.26±4). Majority of families belonged to the lower middle class IV (41.4%). 44% of mothers had primary education. Mothers with age >30 yrs were 55.6%. Only 30.9% of mothers had taken folic acid during the periconceptional period. Mothers with previous adverse pregnancy outcome were 40.2%. Maternal stress and high blood pressure were present in 33.7% and 24.8% of the mothers respectively. 48% of children were diagnosed through Rashtriya Bal Swasthya Karyakram (RBSK).

Conclusions: Lower middle class, lower maternal education, advanced maternal age, low folic acid intake, previous adverse pregnancy outcome, maternal stress and high blood pressure were the leading risk factors for CHD. RBSK is playing important role in screening and diagnosing of patients.


Congenital heart disease, Risk factors, RBSK

Full Text:



Chou HH, Chiou MJ, Liang FW, Chen LH, Lu TH, Li CY. Association of maternal chronic disease with risk of congenital heart disease in offspring. CMAJ. 2016;188(17-18):438-46.

Kucik JE, Nembhard WN, Donohue P, Devine O, Wang Y, Minkovitz CS, et al. Community socioeconomic disadvantage and the survival of infants with congenital heart defects. Am J Public Health. 2014;104(11):150–7.

Peyvandi S, Rychik J, Zhang X, Shea JA, Goldmuntz E. Preconceptual Folic Acid Use and Recurrence Risk Counseling for Congenital Heart Disease. Congenit Heart Dis. 2015;10(3):219–25.

Patel N, Jawed S, Nigar N, Junaid F, Wadood AA, Abdullah F. Frequency and pattern of congenital heart defects in a tertiary care cardiac hospital of Karachi. Pakistan J Med Sci. 2016;32(1):79–84.

Kapoor R, Gupta S. Prevalence of congenital heart disease, Kanpur, India. Indian Pediatr. 2008;45(4):309–11.

Child JS, Aboulhosn J. Congenital Heart Disease in the adult. In: Harrison’s Principles of Internal Medicine, 18th ed: McGraw-Hill; 2012; 1920-1927.

Nousi D, Christou A. Factors affecting the quality of life in children with congenital heart disease. Heal Sci J. 2010;4(2):94–100.

Zhu Z, Cheng Y, Yang W, Li D, Yang X, Liu D, et al. Who Should Be Targeted for the Prevention of Birth Defects? A Latent Class Analysis Based on a Large, Population-Based, Cross-Sectional Study in Shaanxi Province, Western China. PLoS One. 2016;11(5):1–16.

Rashtriya Bal Swasthya Karyakram (RBSK). Operational Guideline, 2013. Available at Accessed 9 Jan 2018.

National Family Health Survey-4, India Factsheet 2015-16. Available at: pdf/NFHS4/India.pdf. Accessed 10 Jan 2018.