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CN 34-1304/RISSN 1674-3679

Volume 25 Issue 10
Nov.  2021
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LI Wen-xian, DU Li, LI Min-ming, ZHU Li-ping. Incidence of birth defects during different surveillance ranges in Shanghai from 2016 to 2018[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(10): 1226-1230. doi: 10.16462/j.cnki.zhjbkz.2021.10.020
Citation: LI Wen-xian, DU Li, LI Min-ming, ZHU Li-ping. Incidence of birth defects during different surveillance ranges in Shanghai from 2016 to 2018[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(10): 1226-1230. doi: 10.16462/j.cnki.zhjbkz.2021.10.020

Incidence of birth defects during different surveillance ranges in Shanghai from 2016 to 2018

doi: 10.16462/j.cnki.zhjbkz.2021.10.020
Funds:

The Capacity Building Planning Program for Shanghai Women and Children's Health Service 2016-2020

Shanghai Munipal Health and Family Planning Commission under Grant 20174Y0097

More Information
  • Corresponding author: ZHU Li-ping, E-mail: shzhuliping@163.com
  • Received Date: 2021-01-16
  • Rev Recd Date: 2021-03-21
  • Available Online: 2021-11-17
  • Publish Date: 2021-10-10
  •   Objective  To compare the incidence and composition of birth defects in children under 18 years old in Shanghai during prenatal and postpartum monitoring periods, in order to explore more appropriate time period of birth defects surveillance.  Methods  The hospital-based monitoring data from 2016 to 2018 were retrived from Shanghai birth defects surveillance network, in which all defects cases were reported from any gestational week to age of 18. The cumulative incidencece and proportion were respectively analyzed before 28 gestational weeks, 28 gestational weeks to postpartum 7 days, postpartum 8 to 42 days, postpartum 43 days to 1 years old, 1 to 2 years after birth, 2 to 3 years after birth, and 3 to 18 years old.  Results  The incidences were respectively 16.31, 15.34 and 22.05 per 1000 births below 18 years of age in Shanghai, 2016-2018. Congenital heart disease was the top kind of birth defects within all years. The cumulative incidences were 4.49 and 14.44 per 1000 births before 28 gestational weeks and perinatal period. The cumulative incidences turned respectively 15.18, 16.90, 17.05, 17.11 and 17.35 per 1000 births when the monitoring range was prolonged to postpartum 42 days, 1, 2, 3 and 18 years after birth. A total of 83.21% and 97.38% of birth defects were diagnosed, and the cumulative incidences increased to 1.45 and 1.7 times high, when defects identified at any gestational weeks and before 1 years of age were included.  Conclusions  It is suggested that the surveillance period of birth defects should be extended from any gestational weeks to 1 year after birth within hospital-based monitoring mode.
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