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Published on: August 17, 2022
Birth defects registries in the genomics era: challenges and opportunities for developing countries
1Department of Paediatrics, Faculty of Medicine, University of Malaya , Kuala Lumpur , Malaysia.
Insights
Accurate birth defect data collection is crucial in developing nations. Birth defects registries (BDRs) are essential for planning prevention and care, even with advances in genomics.
Area of Science:
- Public Health
- Clinical Genetics
- Epidemiology
Background:
- Birth defects (congenital anomalies) are a leading cause of disability globally.
- Developing countries lack sufficient population-based data on birth defects.
- Congenital anomalies are a primary cause of neonatal mortality in low-resource settings.
Purpose of the Study:
- To highlight the need for accurate birth defect data collection in developing countries.
- To emphasize the importance of birth defects registries (BDRs) for public health planning.
- To address the gap between genetic research findings and clinical application for birth defects.
Main Methods:
- Systematic data collection and analysis using birth defects registries (BDRs).
- Review of the role of BDRs in clinical genetic services and healthcare planning.
- Discussion of the advantages and limitations of BDRs in low-resource contexts.
Main Results:
- Birth defects registries (BDRs) are integral to clinical genetic services.
- Accurate ascertainment of birth defects is vital for capacity building in low-resource countries.
- BDRs are essential for planning and developing care and prevention services.
Conclusions:
- Despite the genomics era, BDRs remain critical for managing birth defects in developing countries.
- Healthcare planners must understand BDRs' utility and constraints for effective public health strategies.
- Investing in BDRs is necessary to reduce the impact of congenital anomalies on neonatal mortality.
Abstract:
Birth defects or congenital anomalies are one of the major causes of disability in developed and developing countries. Data on birth defects from population-based studies originating from developing countries are lacking. Increasingly, there is a shift to genetic testing and genomics study of birth defects. However, the translation from bench findings to bedside medicine has been muted. There is a need to address this imbalance where congenital anomalies remained the top etiology for neonatal mortality in developing countries. To build capacity in low resource countries, there is a need for accurate collection and ascertainment of birth defects in developing countries. The systematic collection and analysis of data on major birth defects using birth defects registries (BDRs) are an integral part of all clinical genetic services. Healthcare planners in developing countries must be aware of the advantages and limitations of BDRs. Despite the advent of the genomics era, BDRs are essential to the planning and developing care and prevention services at local and national levels, particularly in low resource or developing countries.
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