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Table 2 Prevalence of major birth defect, ORs and 95% CIs of subfertile men compared with fertile men for major birth defects within IVF (n = 31,834 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

IVF

n (%)

Crude OR (95% CI)

Adjusted OR (95% CI)c

Fertile men (n = 28,671)

Subfertile men (n = 3163)

Any major anomaly

273 (0.95)

40 (1.26)

1.33 (0.82 to 2.15)

1.35 (0.83 to 2.20)

Cardiovascular

 Ventricular septal defect

57 (0.20)

11 (0.35)

1.75 (0.87 to 3.51)

1.73 (0.86 to 3.51)

 Atrial septal defect

9 (0.03)

4 (0.13)

4.03 (1.11 to 14.6)

3.98 (1.12 to 14.1)

 Tetralogy of Fallot

11 (0.04)

2 (0.06)

1.65 (0.38 to 7.09)

1.64 (0.38 to 7.00)

Musculoskeletal

 Omphalocele

1 (0.00)

1 (0.03)

9.07 (0.56 to 147.9)

 Gastroschisis

2 (0.01)

0 (0)

 Diaphragmatic hernia

4 (0.01)

1 (0.03)

2.27 (0.23 to 22.1)

2.44 (0.24 to 24.9)

 Polydactyly

25 (0.09)

2 (0.06)

0.72 (0.17 to 3.07)

0.72 (0.17 to 3.10)

 Syndactyly

9 (0.03)

0 (0.0)

Urogenital

 Hypospadiasa

4 (0.01)

3 (0.09)

6.77 (1.99 to 23.1)

6.85 (2.05 to 22.9)

Gastrointestinal

 Alimentary atresiab

15 (0.05)

1 (0.03)

0.60 (0.08 to 4.73)

0.61 (0.08 to 4.80)

 Esophageal atresia

6 (0.02)

0 (0)

 Atresia of small intestine

2 (0.01)

0 (0)

 Rectal and large intestinal atresia

7 (0.02)

1 (0.03)

1.30 (0.15 to 11.2)

1.34 (0.16 to 11.5)

Central nervous system

 Anencephaly

23 (0.08)

0 (0)

 Spina bifida

8 (0.03)

0 (0)

Orofacial

 Cleft lip with and without cleft palate

18 (0.06)

2 (0.09)

1.51 (0.46 to 4.99)

1.56 (0.48 to 5.07)

  1. OR odds ratio, IVF in vitro fertilization
  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