Taksande, Amar MVilhekar, Krishna2026-05-212026-05-212013https://hdl.handle.net/20.500.14572/6183Amar M Taksande Jawaharlal Nehru Medical College, Swangi Meghe, Wardha, Maharastra Krishna Vilhekar Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha, MaharastraAbstract: Introduction: Congenital heart disease is the most common congenital problem that accounts for up to 25% of all congenital malformations. Hence this study was aimed at improving the knowledge related to risk factors associated with CHD in a rural Indian scenario. It was a hospital- based case control study. Materials and Methods: The children up to twelve year of age with clinical suspicion of CHD were subjected to chest x-ray and electrocardiography, and final diagnosis was confirmed by echocardiography (n=209) as cases. The control group (n=418) were randomly selected from children without CHD who were admitted during the same period. The etiological factors like environmental, infections, drugs, and maternal factors were analyzed by using EPI 6 version. Results: In cases group, 56% were male and 44% female children. 82% cases presented at age of less than 5 years and 18% after 5 year. Exposure to smoking (OR=10.45), tobacco intake by mother (OR=8.28) and family history of CHD (OR=7.21) were the significant risk factor present in cases. Conclusion: The risk factors for CHD child identified were exposure to smoking and tobacco intake by mother, family history of CHD, antenatal infection in 1st trimester and history of diabetic mother.en-USCongenital heart diseaseEtiologyAcyanoticCyanoticRisk factorArticle