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. 1988 May 1;138(9):819–823.

Birth prevalence and recurrence rates of neural tube defects in southern Alberta in 1970-81.

N Y Thunem 1, R B Lowry 1, B J Tucker 1, B W Medd 1
PMCID: PMC1267817  PMID: 3282629

Abstract

Given the observed variation in birth prevalence and recurrence rates of neural tube defects, it is important to obtain such data specific to a given locality for research and genetic counseling purposes. A review of hospital medical charts, the patient lists of the Medical Genetics and Myelomeningocele clinics at Alberta Children's Hospital and data from the Canadian Congenital Anomalies Surveillance System revealed the annual birth prevalence rate of neural tube defects in southern Alberta in 1970-81 to be 1.62/1000 total births. This figure suggests southern Alberta to be a low-frequency area. There was no significant variation in the annual rates of spina bifida, encephalocele or all neural tube defects combined over the study period. A significant linear decline in the frequency of births of anencephalic infants, however, was noted (p = 0.025). Information on the total reproductive history of the mothers revealed that the empiric risk of recurrence of a neural tube defect was 2.2%, and the risk to all siblings was estimated to be 2.3%. In future prevalence studies multiple sources of case ascertainment should be used, including data on pregnancies terminated because of a fetal neural tube defect.

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Selected References

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

  1. Al-Awadi S. A., Farag T. I., Teebi A. S., Naguib K. K., El-Khalifa M. Y. Anencephaly: disappearing in Kuwait? Lancet. 1984 Sep 22;2(8404):701–702. doi: 10.1016/s0140-6736(84)91264-9. [DOI] [PubMed] [Google Scholar]
  2. Carstairs V., Cole S. Spina bifida and anencephaly in Scotland. Br Med J (Clin Res Ed) 1984 Nov 3;289(6453):1182–1184. doi: 10.1136/bmj.289.6453.1182. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cowchock S., Ainbender E., Prescott G., Crandall B., Lau L., Heller R., Muir W. A., Kloza E., Feigelson M., Mennuti M. The recurrence risk for neural tube defects in the United States: a collaborative study. Am J Med Genet. 1980;5(3):309–314. doi: 10.1002/ajmg.1320050314. [DOI] [PubMed] [Google Scholar]
  4. Czeizel A., Métneki J. Recurrence risk after neural tube defects in a genetic counselling clinic. J Med Genet. 1984 Dec;21(6):413–416. doi: 10.1136/jmg.21.6.413. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Danks D. M., Halliday J. L. Incidence of neural tube defects in Victoria, Australia. Lancet. 1983 Jan 1;1(8314-5):65–65. doi: 10.1016/s0140-6736(83)91593-3. [DOI] [PubMed] [Google Scholar]
  6. 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]
  7. Elwood J. M., Rogers J. R. The incidence of congenital abnormalities in British Columbia, Alberta, Manitoba and New Brunswick, 1966-1969. Can J Public Health. 1975 Nov-Dec;66(6):471–476. [PubMed] [Google Scholar]
  8. Fraser F. C., Frecker M., Allderdice P. Seasonal variation of neural tube defects in Newfoundland and elsewhere. Teratology. 1986 Jun;33(3):299–303. doi: 10.1002/tera.1420330307. [DOI] [PubMed] [Google Scholar]
  9. Hunter A. G. Neural tube defects in Eastern Ontario and Western Quebec: demography and family data. Am J Med Genet. 1984 Sep;19(1):45–63. doi: 10.1002/ajmg.1320190108. [DOI] [PubMed] [Google Scholar]
  10. Koch M., Fuhrmann W. Sibs of probands with neural tube defects--a study in the Federal Republic of Germany. Hum Genet. 1985;70(1):74–79. doi: 10.1007/BF00389463. [DOI] [PubMed] [Google Scholar]
  11. Lorber J., Ward A. M. Spina bifida--a vanishing nightmare? Arch Dis Child. 1985 Nov;60(11):1086–1091. doi: 10.1136/adc.60.11.1086. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. McBride M. L. Sib risk of anencephaly and spina bifida in British Columbia. Am J Med Genet. 1979;3(4):377–387. doi: 10.1002/ajmg.1320030409. [DOI] [PubMed] [Google Scholar]
  13. Owens J. R., Harris F., McAllister E., West L. 19-year incidence of neural tube defects in area under constant surveillance. Lancet. 1981 Nov 7;2(8254):1032–1035. doi: 10.1016/s0140-6736(81)91226-5. [DOI] [PubMed] [Google Scholar]
  14. Romijn J. A., Treffers P. E. Anencephaly in the Netherlands: a remarkable decline. Lancet. 1983 Jan 1;1(8314-5):64–65. doi: 10.1016/s0140-6736(83)91592-1. [DOI] [PubMed] [Google Scholar]
  15. Sadovnick A. D., Baird P. A. Incidence of neural tube defects in liveborn and stillborn infants in British Columbia over a 10-year period. Can Med Assoc J. 1983 Nov 15;129(10):1109–1110. [PMC free article] [PubMed] [Google Scholar]
  16. Ury H. K., Wiggins A. D. Another shortcut method for calculating the confidence interval of a Poisson variable (or of a standardized mortality ratio) Am J Epidemiol. 1985 Jul;122(1):197–198. doi: 10.1093/oxfordjournals.aje.a114083. [DOI] [PubMed] [Google Scholar]
  17. Windham G. C., Edmonds L. D. Current trends in the incidence of neural tube defects. Pediatrics. 1982 Sep;70(3):333–337. [PubMed] [Google Scholar]
  18. Winsor E. J., Brown B. S. Prevalence and prenatal diagnosis of neural tube defects in Nova Scotia in 1980-84. CMAJ. 1986 Dec 1;135(11):1269–1273. [PMC free article] [PubMed] [Google Scholar]

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