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Incidence and risk factors of spina bifida in children
Mariana O Ryznychuk1, Mariana I Kryvchanska2, Irina V Lastivka1
1Pediatrics And Medical Genetics Department, Higher State Educational Establishment Of Ukraine "Bukovinian State Medical University", Chernivtsi, Ukraine.
Insights
Spina bifida incidence in Northern Bukovina is comparable to national rates, with factors like maternal education and folic acid use showing preventive potential. Further research is needed to fully understand associated risks.
Area of Science:
- Medical Science
- Public Health
- Epidemiology
Background:
- Spina bifida is a complex birth defect with variable incidence globally.
- Understanding regional variations and risk factors is crucial for public health initiatives.
Purpose of the Study:
- To analyze the incidence of spina bifida in Northern Bukovina from 2007-2016.
- To compare regional spina bifida rates with EUROCAT data and national statistics.
- To identify risk and preventive factors associated with spina bifida.
Main Methods:
- A retrospective case-control study was conducted.
- Clinical records of 34 children with spina bifida were compared to 44 healthy children.
- Data analysis included risk factor assessment and incidence comparison.
Main Results:
- Spina bifida prevalence in studied countries ranged from 0.13-0.50‰.
- Northern Bukovina's incidence (0.22‰) was below Ukraine's average (0.29‰).
Conclusions:
- Multiple factors contribute to spina bifida risk, including pregnancy history, maternal health, and environmental exposures.
- Parental education and early folic acid supplementation appear to be protective factors.
- Further investigation is warranted to elucidate the complex etiology of spina bifida.
Objective:
Introduction: The pathogenesis of spina bifida depends on time, region, race and ethnicity. It is found in 4.7 per 10.000 of live born children worldwide. The aim: The incidence in children of Northern Bukovina was analyzed. The spina bifida incidence for 2007-2016 in this region, as well as, compared to some countries according to EUROCAT data was studied.
Patients And Methods:
Materials and methods: A retrospective study to analyze the risk factors for spina bifida was carried out. A case-control study was conducted using clinical records of 34 children with this pathology (16 boys and 18 girls) aged 0-18 years living in Northern Bukovina. 44 case records of healthy children (26 boys and 18 girls) were compared.
Results:
Results: According to EUROCAT, the prevalence of spina bifida in the studied countries varied in the range of 0.13-0.50‰. The spina bifida incidence in Northern Bukovina (0.22 ‰) does not exceed the statistics for Ukraine (0.29 ‰) throughout the study period.
Conclusion:
Conclusions: This study provides a comprehension overview of a number of factors determining spina bifida risks: third pregnancy, miscarriage, high emotional stress during pregnancy, TORCH infection in pregnant, poor housing, maternal age, co-habiting, residence near contaminated lands, hard physical work preconceptionally, smoking habits, military service, etc. The most probable spina bifida preventive factors in children are: high school education of parents and using folic acid during the first trimester of pregnancy. Nevertheless, our data present new factual material, which requires further in-depth study, it is already clear that all the above indicators are associated with increased risk for spina bifida-complicated pregnancies.
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