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. 1979 Mar;33(1):78–83. doi: 10.1136/jech.33.1.78

Contrasting effects of maternal fertility and birth rank on the occurrence of neural tube defects.

J M Elwood, M L McBride
PMCID: PMC1060908  PMID: 380981

Abstract

The relationships between the occurrence of anencephalus and spina bifida, sibship size and birth rank were examined, using linked records for births in British Columbia. Comparison of 414 sibships in which at least one infant had a neural tube defect with 1362 randomly chosen unaffected sibships showed that the affected sibships were larger. There were both more births than expected after the affected birth, and shorter intervals between births before the affected birth. Within sibships, the risk of anencephalus or spina bifida decreased strongly with increasing birth rank. No associations were seen with maternal age at first birth.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Clarke C., Hobson D., McKendrick O. M., Rogers S. C., Sheppard P. M. Spina bifida and anencephaly: miscarriage as possible cause. Br Med J. 1975 Dec 27;4(5999):743–746. doi: 10.1136/bmj.4.5999.743. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Elwood J. M. Anencephalus in Canada 1943-1970. Am J Epidemiol. 1974 Oct;100(4):288–296. doi: 10.1093/oxfordjournals.aje.a112037. [DOI] [PubMed] [Google Scholar]
  3. Elwood J. M. Letter: Clomiphene and anencephalic births. Lancet. 1974 Jan 5;1(7845):31–31. doi: 10.1016/s0140-6736(74)93028-1. [DOI] [PubMed] [Google Scholar]
  4. Elwood J. M., Raman S., Mousseau G. Reproductive history in the mothers of anencephalics. J Chronic Dis. 1978;31(6-7):473–481. [PubMed] [Google Scholar]
  5. Fedrick J., Adelstein P. Influence of pregnancy spacing on outcome of pregnancy. Br Med J. 1973 Dec 29;4(5895):753–756. doi: 10.1136/bmj.4.5895.753. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. James W. H. Birth ranks of spontaneous abortions in sibships of children affected by anencephaly or spina bifida. Br Med J. 1978 Jan 14;1(6105):72–73. doi: 10.1136/bmj.1.6105.72. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. James W. H. Central nervous system malformation stillbirths, maternal age and birth order. Ann Hum Genet. 1969 Jan;32(3):223–236. doi: 10.1111/j.1469-1809.1969.tb00072.x. [DOI] [PubMed] [Google Scholar]
  8. James W. H. Stillbirth and birth order. Ann Hum Genet. 1968 Oct;32(2):151–162. doi: 10.1111/j.1469-1809.1968.tb00059.x. [DOI] [PubMed] [Google Scholar]
  9. Janerich D. T. Anencephaly and maternal age. Am J Epidemiol. 1972 Apr;95(4):319–326. doi: 10.1093/oxfordjournals.aje.a121400. [DOI] [PubMed] [Google Scholar]
  10. Janerich D. T. Maternal age and spina bifida: longitudinal versus cross-sectional analysis. Am J Epidemiol. 1972 Dec;96(6):389–395. doi: 10.1093/oxfordjournals.aje.a121471. [DOI] [PubMed] [Google Scholar]
  11. Letter: Anencephaly, ovulation stimulation, subfertility, and illegitimacy. Lancet. 1973 Oct 20;2(7834):916–917. [PubMed] [Google Scholar]
  12. Newcombe H. B. Record linking: the design of efficient systems for linking records into individual and family histories. Am J Hum Genet. 1967 May;19(3 Pt 1):335–359. [PMC free article] [PubMed] [Google Scholar]
  13. RECORD R. G., McKEOWN T. Congenital malformations of the central nervous system; maternal reproductive history and familial incidence. Br J Soc Med. 1950 Jan;4(1):26–50. doi: 10.1136/jech.4.1.26. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Richards I. D., McIntosh H. T., Sweenie S. A genetic study of anencephaly and spina bifida in Glasgow. Dev Med Child Neurol. 1972 Oct;14(5):626–639. doi: 10.1111/j.1469-8749.1972.tb02645.x. [DOI] [PubMed] [Google Scholar]
  15. Rogers S. C. Anencephalus, Spina Bifida, twins, and teratoma. Br J Prev Soc Med. 1976 Mar;30(1):26–28. doi: 10.1136/jech.30.1.26. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. SMITHELLS R. W., CHINN E. R., FRANKLIN D. ANENCEPHALY IN LIVERPOOL. Dev Med Child Neurol. 1964 Jun;6:231–240. doi: 10.1111/j.1469-8749.1964.tb10782.x. [DOI] [PubMed] [Google Scholar]
  17. SMITHELLS R. W., CHINN E. R. SPINA BIFIDA IN LIVERPOOL. Dev Med Child Neurol. 1965 Jun;7:258–268. [PubMed] [Google Scholar]
  18. Spiers P. S. Letter: Multiple ovulation and risk of anencephaly and spina bifida. Lancet. 1973 Nov 17;2(7838):1149–1149. [PubMed] [Google Scholar]
  19. Trimble B. K., Baird P. A. Congenital anomalies of the central nervous system incidence in British Columbia, 1952-72. Teratology. 1978 Feb;17(1):43–49. doi: 10.1002/tera.1420170111. [DOI] [PubMed] [Google Scholar]
  20. Wyshak G., White C. Fertility of twins and parents of twins. Hum Biol. 1969 Feb;41(1):66–82. [PubMed] [Google Scholar]

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