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Table 3 Prevalence of major birth defect, ORs and 95% CIs of subfertile men compared with fertile men for major birth defects within ICSI (n = 28,137 cycles)

From: Male subfertility and the risk of major birth defects in children born after in vitro fertilization and intracytoplasmic sperm injection: a retrospective cohort study

Type of major birth defect

ICSI

 

n (%)

Crude OR (95% CI)

Adjusted OR (95% CI)c

 

Fertile men (n = 13,777)

Subfertile men (n = 14,360)

  

Any major anomaly

156 (1.13)

157 (1.1)

0.97 (0.68 to 1.38)

0.95 (0.67 to 1.35)

Cardiovascular

 Ventricular septal defect

40 (0.29)

43 (0.30)

1.03 (0.58 to 1.83)

1.12 (0.65 to 1.91)

 Atrial septal defect

8 (0.06)

7 (0.05)

0.84 (0.36 to 1.94)

0.75 (0.33 to 1.70)

 Tetralogy of Fallot

2 (0.01)

3 (0.02)

1.44 (0.28 to 7.35)

1.78 (0.32 to 9.92)

Musculoskeletal

 Omphalocele

1 (0.01)

2 (0.01)

1.92 (0.17 to 21.6)

1.36 (0.13 to 13.9)

 Gastroschisis

0 (0)

0 (0)

 Diaphragmatic hernia

6 (0.04)

3 (0.02)

0.48 (0.13 to 1.83)

0.49 (0.12 to 2.08)

 Polydactyly

11 (0.08)

5 (0.03)

0.44 (0.16 to 1.19)

0.37 (0.14 to 1.01)

 Syndactyly

3 (0.02)

3 (0.02)

0.96 (0.21 to 4.40)

0.87 (0.14 to 5.26)

Urogenital

 Hypospadiasa

3 (0.02)

10 (0.07)

2.89 (1.002 to 8.33)

2.65 (0.90 to 7.85)

Gastrointestinal

 Alimentary atresiab

13 (0.09)

15 (0.10)

1.11 (0.52 to 2.35)

0.96 (0.46 to 1.98)

 Esophageal atresia

4 (0.03)

4 (0.03)

0.96 (0.24 to 3.90)

0.66 (0.17 to 2.50)

 Atresia of small intestine

2 (0.01)

2 (0.01)

0.96 (0.11 to 8.08)

0.97 (0.14 to 6.82)

 Rectal and large intestinal atresia

8 (0.06)

9 (0.06)

1.08 (0.41 to 2.86)

0.99 (0.39 to 2.53)

Central nervous system

 Anencephaly

5 (0.04)

5 (0.03)

0.96 (0.28 to 3.24)

0.85 (0.22 to 3.27)

 Spina bifida

7 (0.05)

2 (0.01)

0.27 (0.06 to 1.31)

0.26 (0.06 to 1.11)

Orofacial

 Cleft lip with and without cleft palate

12 (0.09)

11 (0.08)

0.88 (0.37 to 2.11)

0.95 (0.40 to 2.25)

  1. OR odds ratio, CI confidence interval, ICSI intracytoplasmic sperm injection
  2. aAnalysis was restricted within male infants
  3. bAlimentary atresia is a composite outcomes of esophageal atresia, atresia of small intestine and rectal and large intestinal atresia
  4. cadjusted for maternal age, calendar year, embryo stage at transfer, and fetal sex