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 2004

Live births (L)	26315
Stillbirths (S)	95
Total births	26410
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	22	0.38	N.A.
Spina bifida	16	2	18	6.82	N.A.
Encephalocele	1	0	5	0.38	N.A.
Microcephaly (2)	8	0	nr	3.03	N.A.
Arhinencephaly / Holoprosencephaly	3	0	nr	1.14	N.A.
Hydrocephaly	9	2	nr	4.17	N.A.
Total Anophthalmos / Microphthalmos (include unspecified) (2)	2	0	nr	0.76	N.A.
Anophthalmos (2)	0	0	nr	0.00	N.A.
Microphthalmos (2)	2	0	nr	0.76	N.A.
Total Anotia / Microtia (include unspecified)	3	0	nr	1.14	N.A.
Anotia	0	0	nr	0.00	N.A.
Microtia	3	0	nr	1.14	N.A.
Transposition of great vessels	8	0	nr	3.03	N.A.
Tetralogy of Fallot	4	0	nr	1.51	N.A.
Hypoplastic left heart syndrome	5	0	nr	1.89	N.A.
Coarctation of aorta	5	0	nr	1.89	N.A.
Choanal atresia, bilateral	0	0	nr	0.00	N.A.
Cleft palate without cleft lip	13	0	nr	4.92	N.A.
Cleft lip with or without cleft palate	16	2	nr	6.82	N.A.
Oesophageal atresia / stenosis with or without fistula	5	0	nr	1.89	N.A.
Small intestine atresia / stenosis	4	0	nr	1.51	N.A.
Anorectal atresia / stenosis	7	1	nr	3.03	N.A.
Undescended testis (36 weeks of gestation or later)	98	0	nr	37.11	N.A.
Hypospadias (3)	5	0	nr	1.89	N.A.
Epispadias	0	0	nr	0.00	N.A.
Indeterminate sex	0	0	nr	0.00	N.A.
Renal agenesis	1	0	nr	0.38	N.A.
Cystic kidney	8	0	nr	3.03	N.A.
Bladder exstrophy	2	0	nr	0.76	N.A.
Polydactyly, preaxial	5	0	nr	1.89	N.A.
Total Limb reduction defects (include unspecified)	11	0	nr	4.17	N.A.
Transverse	8	0	nr	3.03	N.A.
Preaxial	1	0	nr	0.38	N.A.
Postaxial	0	0	nr	0.00	N.A.
Intercalary	1	0	nr	0.38	N.A.
Mixed	1	0	nr	0.38	N.A.
Diaphragmatic hernia	5	2	nr	2.65	N.A.
Total Abdominal wall defects (include unspecified)	5	0	nr	1.89	N.A.
Omphalocele	3	0	nr	1.14	N.A.
Gastroschisis	2	0	nr	0.76	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)	1	0	nr	0.38	N.A.
Down syndrome, all ages (include age unknown) (2)	33	1	nr	12.87	N.A.
<20	1	0	nr	3.78	N.A.
20-24	12	0	nr	11.25	N.A.
25-29	4	1	nr	6.67	N.A.
30-34	3	0	nr	7.80	N.A.
35-39	5	0	nr	36.60	N.A.
40-44	5	0	nr	140.45	N.A.
45+	3	0	nr	1363.64	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
(A) More details in NTD table

Cleared by:

• Chief of Oblast Health Care Administration Dr. Mykhaylo Andrushkiv (Rivne);
• Chief of Oblast Health Care Administration Dr. Ihor Vashchenyuk (Lutsk).

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

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