• Shazia Perveen, Sajid Ali, Abdul Jabbar, and Batool Fatima.
• Dr. Shazia Perveen, FCPS. Department of Pediatric Surgery, National Institute of Child Health, Jinnah Sindh Medical University, Karachi, Pakistan.
• Pak J Med Sci. 2022 Jan 1; 38 (1): 297-301.

ObjectiveTo determine the frequency of place of delivery and person detecting the anomaly among newborn babies presenting with delayed diagnosis of anorectal malformation (ARM).MethodsThis is a Descriptive Cross-Sectional Study, conducted at Department of Paediatric Surgery, National Institute of Child Health (NICH) Karachi, from February 19, 2019 to August 18, 2019. All patients with ARM who were diagnosed beyond two hours of life (Delayed diagnosis) were included in the study. Chi square test was applied for comparison of categorical variables.ResultsTotal 110 patients were enrolled in this study. Nineteen (17.3%) patients were delivered at home, while 91 (82.7%) were delivered at the hospital. The first person detecting the anomaly was grandmother (n=25) or a non-medical person in 58 patients (52.7%), 52 were diagnosed by a medical personal either primarily in 31 cases (28.2%) or secondarily by a neonatologist in 21 cases (19.1%).ConclusionIt is concluded that Non-medical person detected ARM mainly despite the babies being delivered mostly at the hospital, indicating the need for meticulous neonatal examination.Copyright: © Pakistan Journal of Medical Sciences.

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