Maternal and paternal age, birth order and interpregnancy interval evaluation for cleft lip-palate. 2010

Daniella Reis Barbosa Martelli, and Kaliany Wanessa da Cruz, and Letízia Monteiro de Barros, and Marise Fernandes Silveira, and Mário Sérgio Oliveira Swerts, and Hercílio Martelli Júnior
Universidade estadual de Montes Claros, Brazil.

Cleft lip and palate (CL/P) are the most common congenital craniofacial anomalies. OBJECTIVE To evaluate environmental risk factors for non-syndromic CL/P in a reference care center in Minas Gerais. METHODS we carried out a case-controlled study, assessing 100 children with clefts and 100 children without clinical alterations. The analysis dimensions (age, skin color, gender, fissure classification, maternal and paternal age, birth order and interpregnancy interval), obtained from a questionnaire; and later we build a data base and the analyses were carried out by the SPSS 17.0 software. The results were analyzed with the relative risk for each variable, in order to estimate the odds ratio with a 95% confidence interval, followed by a bivariate and multivariate analysis. RESULTS among 200 children, 54% were males and 46% were females. As far as skin color is concerned most were brown, white and black, respectively. Cleft palates were the most common fissures found (54%), followed by lip cleft (30%) and palate cleft (16%). CONCLUSIONS although with a limited sample, we noticed an association between maternal age and an increased risk for cleft lip and palate; however, paternal age, pregnancy order and interpregnancy interval were not significant.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D008423 Maternal Age The age of the mother in PREGNANCY. Age, Maternal,Ages, Maternal,Maternal Ages
D010331 Paternal Age Age of the biological father. Age, Paternal,Ages, Paternal,Paternal Ages
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D001721 Birth Intervals The lengths of intervals between births to women in the population. Birth Spacing,First Birth Intervals,Pregnancy Intervals,Birth Interval,Birth Spacings,First Birth Interval,Pregnancy Interval
D001722 Birth Order The sequence in which children are born into the family. First Birth,Birth Orders,Birth, First,Births, First,First Births
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002971 Cleft Lip Congenital defect in the upper lip where the maxillary prominence fails to merge with the merged medial nasal prominences. It is thought to be caused by faulty migration of the mesoderm in the head region. Harelip,Cleft Lips,Harelips,Lip, Cleft,Lips, Cleft
D002972 Cleft Palate Congenital fissure of the soft and/or hard palate, due to faulty fusion. Cleft Palate, Isolated,Cleft Palates,Palate, Cleft,Palates, Cleft

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