Document Detail

Incidence of neural tube defects in Ontario, 1986-1999.
MedLine Citation:
PMID:  12186167     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Prenatal screening and the promotion of folic acid intake could affect the incidence of neural tube defects (NTDs). We examined trends in the total NTD incidence, as detected in live births, stillbirths and therapeutic abortions, from 1986 to 1999 in Ontario.
METHODS: To capture cases of NTDs we used data from the Canadian Congenital Anomalies Surveillance System and hospital data on therapeutic abortions. We calculated the total incidence of NTDs by combining the numbers of NTDs occurring in live births, stillbirths and therapeutic abortions.
RESULTS: The total NTD incidence rate increased from 11.7 per 10,000 pregnancies in 1986 to 16.2 per 10,000 in 1995, and it subsequently decreased to 8.6 per 10,000 by 1999. The NTD birth rate (live births and stillbirths) decreased from 10.6 per 10,000 births in 1986 to 5.3 per 10,000 in 1999. The rate of therapeutic abortions with an NTD or hydrocephalus rose from 17.5 per 10,000 abortions in 1986 to 50.7 per 10,000 in 1995 and fell to 28.7 per 10,000 abortions in 1999.
INTERPRETATION: The total NTD incidence rate increased from 1986 to 1995, probably because of increased prenatal screening and better detection of NTDs. The decline from 1995 to 1999 may have been due to increased folic acid intake among women at the time of conception.
Enza Gucciardi; Mary-Anne Pietrusiak; Donna L Reynolds; Jocelyn Rouleau
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne     Volume:  167     ISSN:  0820-3946     ISO Abbreviation:  CMAJ     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-08-20     Completed Date:  2002-08-27     Revised Date:  2013-04-18    
Medline Journal Info:
Nlm Unique ID:  9711805     Medline TA:  CMAJ     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  237-40     Citation Subset:  AIM; IM    
University Health Network Women's Health Program, Toronto, Ont.
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MeSH Terms
Abortion, Therapeutic / statistics & numerical data*
Fetal Death / epidemiology
Infant, Newborn
Neural Tube Defects / epidemiology*
Ontario / epidemiology
Pregnancy Outcome*
Prenatal Diagnosis*
Retrospective Studies
Comment In:
CMAJ. 2002 Aug 6;167(3):255-6   [PMID:  12186171 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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