J Korean Med Sci.  2004 Aug;19(4):509-513. 10.3346/jkms.2004.19.4.509.

A Multi-center Study for Birth Defect Monitoring Systems in Korea

Affiliations
  • 1Department of Obstetrics and Gynecology, Samsung Cheil Hospital & Women's Healthcare Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jhy.yang@samsung.com
  • 2Samsung Medical Center, Sungkyunkwan University School of medicine, Seoul, Korea.
  • 3Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan, Seoul, Korea.
  • 4Department of Obstetrics and Gynecology, Cheil Women's Clinic, Seoul, Korea. jhy60@samsung.co.kr
  • 5Department of Obstetrics and Gynecology, Ilsan Cheil Hospital, Ilsan, Korea.
  • 6Department of Obstetrics and Gynecology, Bombit Women's Hospital, Seoul, Korea.
  • 7Department of Obstetrics and Gynecology, Ewha Women's University Mokdong Hospital, Seoul, Korea.
  • 8Institute for Occupation and Environmental Health, Seoul, Korea.
  • 9Department of Obstetrics and Gynecology, Kangnam St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
  • 10Department of Obstetrics and Gynecology, Sanggye Baik Hospital, Inje University, Seoul, Korea.
  • 11Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.

Abstract

The aim of this study was to establish a multi-center birth defects monitoring system to evaluate the prevalence and the serial occurrence of birth defects in Korea. Ten medical centers participated in this program. A trained nurse collected relevant records from delivery units and pediatric clinics in participating hospitals on a monthly basis. We observed 1,537 cases of birth defects among 86,622 deliveries, which included live births and stillbirths. The prevalence of birth defects was 1.8%, and the sex distribution of the birth defect cases was 55.2% male and 41.6% female. The highest proportion of birth defects was in the cardiovascular system (17.5%), followed by birth defects involving in the genitourinary system (15.6%). Chromosomal anomalies were detected 30.0 per 10,000 births. Of these chromosomal anomalies, Down syndrome was most frequently observed. This study led to an establishment of a multi-center active monitoring system for birth defects. To better understand the serial occurrence of birth defects in Korea, it is necessary to increase the number of participating hospitals and to launch on a nation-wide multi-center study.

Keyword

Birth Defects; Abnormalities; Congenital abnormality; Multicenter Studies

MeSH Terms

Abnormalities/*epidemiology
Child
*Chromosome Aberrations
Female
Humans
Korea/epidemiology
Male
*Population Surveillance
Pregnancy
Pregnancy Outcome
Research Support, Non-U.S. Gov't

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