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. 1975 Jun;29(2):103–110.

Epidemiology of cleft lip and palate. An attempt to rule out chance correlations.

I Saxén
PMCID: PMC478898  PMID: 241446

Abstract

The findings of a previous epidemiological study on oral clefts (599 children) were tested in an independent sample of 194 children, using the same source as for the previous study (Finnish Register of Congenital Malformations). Several of the earlier results--such as seasonal variation and associations between clefts and parental age, social factors, and emotional stress--were not reproduced. It is concluded that chance correlations introduce a marked problem to epidemiological studies. The findings of both studies show that there is an exceptionally high incidence of cleft palate in Finland. Significant geographical variations and associations between clefts and prematurity, threatened abortion during the first and second trimesters, maternal drug consumption during the first trimester, and influenza and fever during the first trimester were found. The possible role of these findings in the aetiology of oral clefts is discussed, and particular attention is paid to the possible teratogenicity of salicylates.

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Selected References

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

  1. Emanuel I., Culver B. H., Erickson J. D., Guthrie B., Schuldberg D. The further epidemiological differentiation of cleft lip and palate: a population study of clefts in King County, Washington, 1956-1965. Teratology. 1973 Jun;7(3):271–281. doi: 10.1002/tera.1420070308. [DOI] [PubMed] [Google Scholar]
  2. FRASER F. C., WARBURTON D. NO ASSOCIATION OF EMOTIONAL STRESS OR VITAMIN SUPPLEMENT DURING PREGNANCY TO CLEFT LIP OR PALATE IN MAN. Plast Reconstr Surg. 1964 Apr;33:395–399. doi: 10.1097/00006534-196404000-00009. [DOI] [PubMed] [Google Scholar]
  3. GOLDMAN A. S., YAKOVAC W. C. THE ENHANCEMENT OF SALICYLATE TERATOGENICITY BY MATERNAL IMMOBILIZATION IN THE RAT. J Pharmacol Exp Ther. 1963 Dec;142:351–357. [PubMed] [Google Scholar]
  4. Gilmore S. I., Hofman S. M. Clefts in Wisconsin: incidence and related factors. Cleft Palate J. 1966 Apr;3:186–199. [PubMed] [Google Scholar]
  5. Karkinen-Jäskeläinen, Saxén L. Maternal influenza, drug consumption, and congenital defects of the central nervous system. Am J Obstet Gynecol. 1974 Mar 15;118(6):815–818. doi: 10.1016/0002-9378(74)90494-3. [DOI] [PubMed] [Google Scholar]
  6. Kimmel C. A., Wilson J. G., Schumacher H. J. Studies on metabolism and identification of the causative agent in aspirin teratogenesis in rats. Teratology. 1971 Feb;4(1):15–24. doi: 10.1002/tera.1420040104. [DOI] [PubMed] [Google Scholar]
  7. Larsson K. S., Eriksson M. Salicylate-induced fetal death and malformations in two mouse strains. Acta Paediatr Scand. 1966 Nov;55(6):569–576. doi: 10.1111/j.1651-2227.1966.tb15256.x. [DOI] [PubMed] [Google Scholar]
  8. Leck I. The etiology of human malformations: insights from epidemiology. Teratology. 1972 Jun;5(3):303–314. doi: 10.1002/tera.1420050305. [DOI] [PubMed] [Google Scholar]
  9. MANTEL N., HAENSZEL W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959 Apr;22(4):719–748. [PubMed] [Google Scholar]
  10. Nelson M. M., Forfar J. O. Associations between drugs administered during pregnancy and congenital abnormalities of the fetus. Br Med J. 1971 Mar 6;1(5748):523–527. doi: 10.1136/bmj.1.5748.523. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Richards I. D. Congenital malformations and environmental influences in pregnancy. Br J Prev Soc Med. 1969 Nov;23(4):218–225. doi: 10.1136/jech.23.4.218. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Rumeau-Rouquette C., Goujard J., Etienne C. Relation entre les metrorragies du debut de la grossesse et les malformations congenitales. Resultats d'une enquête prospectie portant sur 9.525 grossesses. Gynecol Obstet (Paris) 1971 Nov-Dec;70(5):557–562. [PubMed] [Google Scholar]
  13. TRASLER D. G. ASPIRIN-INDUCED CLEFT LIP AND OTHER MALFORMATIONS IN MICE. Lancet. 1965 Mar 13;1(7385):606–607. doi: 10.1016/s0140-6736(65)91192-x. [DOI] [PubMed] [Google Scholar]
  14. WARKANY J., TAKACS E. Experimental production of congenital malformations in rats by salicylate poisoning. Am J Pathol. 1959 Mar-Apr;35(2):315–331. [PMC free article] [PubMed] [Google Scholar]

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