Birth Defects (BD) in Ukraine

Lyubov Yevtushok, M.D.
Medical Coordinator
Omni-Net Ukraine Birth Defects Prevention Program

Population Based Surveillance
Rivne and Volyn Oblasts
Year 2003

Live births (L)	25319
Stillbirths (S)	127
Total births	25446
Number of terminations of pregnancy (ToP) for birth defects (1)	(nr)

Birth Defects	Number of cases			Rates * 10000
	Livebirths	Stillbirths	ToP*	L+S	L+S+ToP
Anencephaly	0	1	17	0.39	N.A.
Spina bifida	19	1	15	7.86	N.A.
Encephalocele	2	0	2	0.79	N.A.
Microcephaly (2)	5	0	nr	1.96	N.A.
Arhinencephaly / Holoprosencephaly	4	0	nr	1.57	N.A.
Hydrocephaly	10	5	nr	5.89	N.A.
Total Anophthalmos / Microphthalmos (include unspecified) (2)	1	0	nr	0.39	N.A.
Anophthalmos (2)	0	0	nr	0.00	N.A.
Microphthalmos (2)	1	0	nr	0.39	N.A.
Total Anotia / Microtia (include unspecified)	10	0	nr	3.93	N.A.
Anotia	2	0	nr	0.79	N.A.
Microtia	8	0	nr	3.14	N.A.
Transposition of great vessels	5	0	nr	1.96	N.A.
Tetralogy of Fallot	8	0	nr	3.14	N.A.
Hypoplastic left heart syndrome	2	1	nr	1.18	N.A.
Coarctation of aorta	6	1	nr	2.75	N.A.
Choanal atresia, bilateral	0	0	nr	0.00	N.A.
Cleft palate without cleft lip	9	0	nr	3.54	N.A.
Cleft lip with or without cleft palate	24	0	nr	9.43	N.A.
Oesophageal atresia / stenosis with or without fistula	2	0	nr	0.79	N.A.
Small intestine atresia / stenosis	1	1	nr	0.79	N.A.
Anorectal atresia / stenosis	9	0	nr	3.54	N.A.
Undescended testis (36 weeks of gestation or later)	102	0	nr	40.08	N.A.
Hypospadias (3)	8	0	nr	3.14	N.A.
Epispadias	0	0	nr	0.00	N.A.
Indeterminate sex	2	0	nr	0.79	N.A.
Renal agenesis	1	1	nr	0.79	N.A.
Cystic kidney	8	3	nr	4.32	N.A.
Bladder exstrophy	3	0	nr	1.18	N.A.
Polydactyly, preaxial	3	0	nr	1.18	N.A.
Total Limb reduction defects (include unspecified)	5	0	nr	1.96	N.A.
Transverse	4	0	nr	1.57	N.A.
Preaxial	1	0	nr	0.39	N.A.
Postaxial	0	0	nr	0.00	N.A.
Intercalary	0	0	nr	0.00	N.A.
Mixed	0	0	nr	0.00	N.A.
Diaphragmatic hernia	0	1	nr	0.39	N.A.
Total Abdominal wall defects (include unspecified)	6	0	nr	2.36	N.A.
Omphalocele	3	0	nr	1.18	N.A.
Gastroschisis	3	0	nr	1.18	N.A.
Prune belly sequence	0	0	nr	0.00	N.A.
Trisomy 13 (2)	0	0	nr	0.00	N.A.
Trisomy 18 (2)	0	0	nr	0.00	N.A.
Down syndrome, all ages (include age unknown) (2, 4)	26	0	nr	10.22	N.A.
<20	1	0	nr	3.54	N.A.
20-24	6	0	nr	5.77	N.A.
25-29	8	0	nr	11.25	N.A.
30-34	7	0	nr	20.11	N.A.
35-39	3	0	nr	23.20	N.A.
40-44	1	0	nr	31.65	N.A.
45+	0	0	nr	0.00	N.A.

N.A. = not available
* = Terminations of Pregnancy
(1) Number of terminations of pregnancy (ToP) for birth defects is not reported (nr), except for NTD
(2) Clinical diagnosis only; with photodocumentation or measurements documented
(3) Includes penile, scrotal, and perineal hypospadias only
(4) 1 case of pregnancy termination with Down Syndrome fetus was registered whose mother was 38 years old and it was confirmed by amniocentesis
(A) More details in NTD table

Cleared by:

• Assistant Chief of Oblast Health Care Administration Dr. Mariya Dumanovska (Rivne);
• Chief of Oblast Health Care Administration Dr. Valeriy Samokhin (Lutsk).

Data reported to International Clearinghouse for Birth Defects Surveillance and Research (ICBDSR).

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