Population-based birth defects data in the United States, 2011-2015: A focus on eye and ear defects

Erin B Stallings1,2, Jennifer L Isenburg1, Cara T Mai1

  • 1National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.

Birth Defects Research
|November 17, 2018
PubMed

Insights

This study reports on major eye and ear anomalies, including anophthalmia/microphthalmia, congenital cataract, and anotia/microtia, in a large US birth cohort. Prevalence varied by maternal age and ascertainment methods, highlighting the need for robust surveillance.

Area of Science:

  • Public Health
  • Epidemiology
  • Pediatrics

Background:

  • Major eye and ear anomalies are significant birth defects.
  • Anophthalmia/microphthalmia, anotia/microtia, and congenital cataract are key conditions studied.
  • Population-based surveillance data is crucial for understanding birth defect prevalence.

Purpose of the Study:

  • To examine the prevalence of major eye and ear anomalies in a recent US birth cohort.
  • To analyze prevalence variations by maternal age, race/ethnicity, infant sex, and other factors.
  • To address data gaps in the surveillance of these specific birth defects.

Main Methods:

  • Utilized data from 30 population-based birth defects surveillance programs in the US.
  • Analyzed a 5-year birth cohort (2011-2015) covering approximately 12.4 million births.
  • Calculated prevalence and 95% confidence intervals, stratified by demographic and ascertainment factors.

Main Results:

  • Overall prevalence per 10,000 live births: anophthalmia/microphthalmia (1.5), congenital cataract (1.5), and anotia/microtia (1.8).
  • Prevalence varied by maternal age (higher in mothers 40+), infant sex, and laterality.
  • Active ascertainment programs reported higher prevalence for anophthalmia/microphthalmia and anotia/microtia compared to passive programs.

Conclusions:

  • Provides recent prevalence estimates for key eye and ear anomalies, filling a critical data gap.
  • Highlights the impact of maternal age and surveillance methodology on reported prevalence.
  • Emphasizes the importance of comprehensive birth defect surveillance systems for public health monitoring.
Abstract

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