Metabolic Brain Disease

, Volume 33, Issue 3, pp 837–842 | Cite as

Prevalence and trend of isolated and complicated congenital hydrocephalus and preventive effect of folic acid in northern China, 2005–2015

  • Jufen Liu
  • Lei Jin
  • Zhiwen Li
  • Yali Zhang
  • Le Zhang
  • Linlin Wang
  • Aiguo Ren
Original Article
  • 85 Downloads

Abstract

Congenital hydrocephalus (CH) was a major birth defect of the central nervous system besides neural tube defects (NTDs). Few studies have focused on both the prevalence and trend of isolated and complicated CH in China. Data were drawn from a population-based birth defects surveillance program in five rural counties in northern China from 2005 to 2015. All livebirths and pregnancy terminations at any gestational age affected with CH were recorded. The prevalence and trend of isolated and complicated CH were examined. During the 11-year period, a total of 176,223 births and 357 CH cases were recorded, resulting in a prevalence rate of 20.3 CH cases per 10,000 births. Of the CH cases, 146 were isolated CH, resulting in a prevalence rate of 8.3 per 10,000 births. The pre-perinatal prevalence (<28 gestational weeks) was higher than the perinatal prevalence for both isolated and total CH. The prevalence rates of total and isolated CH showed a similar downward trend during the 11–year period. This downward trend was statistically significant after 2009 (p < 0.05), when a massive folic acid supplementation program was introduced. Although it decreased over time, the prevalence of CH remains high in this population which has a high prevalence of neural tube defects.

Keywords

Congenital hydrocephalus High prevalence Neural tube defects Folic acid supplementation 

Notes

Funding

This work was supported in part by the National Key Research and Development Program, Ministry of Science and Technology, P.R. China (grant No. 2016YFC1000500) and the National Natural Science Foundation of China (Grant Numbers: 81202265).

Compliance with ethical standards

Conflict of interest

None declared.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Jufen Liu
    • 1
    • 2
  • Lei Jin
    • 1
    • 2
  • Zhiwen Li
    • 1
    • 2
  • Yali Zhang
    • 1
    • 2
  • Le Zhang
    • 1
    • 2
  • Linlin Wang
    • 1
    • 2
  • Aiguo Ren
    • 1
    • 2
    • 3
  1. 1.Institute of Reproductive and Child Health, Key Laboratory of Reproductive Health, National Health and Family Planning Commission of the People’s Republic of ChinaPeking UniversityBeijingChina
  2. 2.Department of Epidemiology and Biostatistics, School of Public HealthPeking UniversityBeijingChina
  3. 3.Institute of Reproductive and Child HealthPeking University Health Science CenterBeijingChina

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