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Table 4 ORs and 95% CIs of ICSI compared with IVF for major birth defects among fertile men (n = 42,448 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

Crude OR (95% CI)

Adjusted OR (95% CI)c

IVF

ICSI

IVF

ICSI

Any major anomaly

Ref.

1.19 (0.94 to 1.50)

Ref.

1.21 (0.96 to 1.52)

Cardiovascular

 Ventricular septal defect

Ref.

1.46 (0.94 to 2.28)

Ref.

1.38 (0.90 to 2.10)

 Atrial septal defect

Ref.

1.85 (0.55 to 6.27)

Ref.

1.81 (0.50 to 6.63)

 Tetralogy of Fallot

Ref.

0.38 (0.10 to 1.49)

Ref.

0.38 (0.10 to 1.47)

Musculoskeletal

 Omphalocele

Ref.

2.08 (0.13 to 33.7)

Ref.

2.14 (0.12 to 36.9)

 Gastroschisis

Ref.

Ref.

 Diaphragmatic hernia

Ref.

3.12 (1.04 to 9.36)

Ref.

3.53 (1.15 to 10.9)

 Polydactyly

Ref.

0.92 (0.48 to 1.73)

Ref.

0.95 (0.49 to 1.85)

 Syndactyly

Ref.

0.69 (0.22 to 2.14)

Ref.

0.77 (0.23 to 2.57)

Urogenital

 Hypospadiasa

Ref.

1.56 (0.45 to 5.45)

Ref.

1.69 (0.49 to 5.78)

Gastrointestinal

 Alimentary atresiab

Ref.

1.80 (0.80 to 4.07)

Ref.

1.97 (0.88 to 4.39)

 Esophageal atresia

Ref.

1.39 (0.40 to 4.83)

Ref.

1.61 (0.45 to 5.76)

 Atresia of small intestine

Ref.

2.08 (0.59 to 7.29)

Ref.

1.80 (0.48 to 6.75)

 Rectal and large intestinal atresia

Ref.

2.38 (0.77 to 7.39)

Ref.

2.69 (0.87 to 8.33)

Central nervous system

 Anencephaly

Ref.

0.45 (0.18 to 1.11)

Ref.

0.53 (0.20 to 1.45)

 Spina bifida

Ref.

1.82 (0.73 to 4.52)

Ref.

1.73 (0.64 to 4.70)

Orofacial

 Cleft lip with and without cleft palate

Ref.

1.39 (0.73 to 2.64)

Ref.

1.28 (0.66 to 2.46)

  1. OR odds ratio, CI confidence interval, IVF in vitro fertilization, 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