European Health Information Gateway

European Health Information Gateway

Number of births with congenital anomalies

Full name:
Number of births with congenital anomalies
number of births
Type of measure:
Data source:
European Health for All database
Data source notes:
The following abbreviations are used in the indicator titles:
•    SDR: age-standardized death rates (see HFA-DB user manual/Technical notes, page 13, for details)
•    FTE: full-time equivalent
•    PP: physical persons
•    PPP$: purchasing power parities expressed in US $, an internationally comparable scale reflecting the relative domestic purchasing powers of currencies.

Indicator notes:
Number of births with congenital anomalies
Indicator code: E045800.T

Congenital malformations diagnosed within first year of life. ICD-9: Chapter XIV. ICD-10: chapter XVII.

Whenever possible, cases ending with late foetal death and abortion should be included. Multiple malformations should be counted as one case.

It is recognised that national diagnostic, registration and statistical reporting practices vary significantly, therefore the international comparability of these data is limited._
Country notes:
Source of data: National Health Information Analytic Center, Ministry of Health of the Republic of
Data collected annually, reference period: 31 December.
January 2001: Morbidity of childres age 0-1 year has been registered since 1997. Before that
information on morbidity of children age 0-15 was available.
Source: EUROCAT ( Registries of Hainaut-Namur (1980-2008) and
Antwerp (1989-2009). Remark: The number was calculated by applying an average of the prevalences
(by 1000 births) of both registries to the total number of births in the country. It is currently
however unclear to what extent the regions of Hainaut, Namur and Antwerp are representative for the
rest of Belgium.
Bosnia and Herzegovina
Public Health Institute - Annual hospital report.
Archive data for years before 2000 is not kept ? data is kept by regulations for 15 years.
November 2002: The data are available only from maternity wards. Source: Croatian National Institute
of Public Health
No data are available
Source: Institute of Health Information and Statistics of CR (IHIS CR).
Breaks in time series: 1994 (increase of the number of observed congenital malformations), 2000
(another information source was added)
Source: The Medical Birth Registry, The Danish Health Data Authority
Source: National Institute for Health Development (NIHD).
Annual reporting, maternity hospital data (aged 0-6 days). Cases ending with late foetal death and
abortion are not included.
Source: Register on Congenital Malformation, THL (National Institute for Health and Welfare).
Data are not available.
Source: National Centre for Disease Control and Public Health of Georgia (NCDC) (
Source: Federal Statistical Office, Hospital statistics - diagnostic data of the hospital patients,
Fachserie 12, Reihe 6.2.1.
Deviation of definition: The data includes the number of infants treated as in-patients due to
abnormalities in the month of birth (ICD-Pos. Q00-Q99 Congenital malformations, deformations and
chromosomal abnormalities). Infants repeatedly treated as in-patients in the month of birth due to a
congenital malformation in hospital, will also be counted several times.
Source: VRONY (National Register for Congenital Anomalies).
The Icelandic Birth Registration
Data are not available.
Numbers refer to live births with congenital anomalies which must be reported to the Ministry of
Health, and are registered at birth or until the baby is discharged from hospital. The list was
changed and the data were updated from 1999.
Source: Until 1999, Central Bureau of Statistics. Since 1999, Health Information Division, Ministry
of Health.
Source from 2002: Ministry of Health, Health Information System, Delivery Certificates Database.
Coverage in 2003: 84% of deliveries, recorded in National Database of Hospital Discharges. In 2004:
86% of the deliveries recorded in the National Database of Hospital Discharges. Coverage in 2005:
92% of deliveries recorded in National Database of Hospital Discharges in the same year. Coverage in
2006: 92.9% of deliveries, recorded in National Database of Hospital Discharges in the same year.
Coverage in 2007: 93.0% of deliveries, recorded in National Database of Hospital Discharges in the
same year. Coverage in 2008: 96.6% of deliveries, recorded in National Database of Hospital
Discharges in the same year. Coverage in 2009: 98.2% of deliveries, recorded in National Database of
Hospital Discharges in the same year. Coverage in 2010: 98,8% of deliveries, recorded in National
Database of Hospital Discharges in the same year. Coverage in 2011: 98.8% of deliveries, recorded in
National Database of Hospital Discharges in the same year. Coverage in 2012: 99.9% of deliveries,
recorded in National Database of Hospital Discharges in the same year. Coverage in 2013: 100.3% of
deliveries, recorded in National Database of Hospital Discharges in the same year. The number of
live births registered in the Delivery Certificates Database in 2013 is: 510.659.
Source before 2000: Register of Congenital Anomalies (only genetically approved live births). Source
from 2000: Newborns Register (total live births Q00-Q99) and Death Causes Database (stillbirths
Q00-Q99). Abortions are not included.
Source: Up to 1996: Medical Genetics Centre. From 1997: Medical Birth Register, HI HIC.
Coverage: Newborns with congenital anomalies.
Note: increase in year 2014 confirmed, cause is not known.
Data are not available.
Major congenital anomalies, as defined in EUROCAT guidelines. Source: Department of Health
Information and Research (Malta National Congenital Anomalies Register)
Only malformations diagnosed at birth are included (ICD-10: Chapter XVII).
Source: TNO Quality of Life. The Netherlands Perinatal Registry.
In 1996 around 86% of the newborns were registered in PRN. In 2009 this percentage was 95%. The
numbers concern deliveries after a gestational age of 22 weeks or more.
This registration only includes congenital anomalies noticed within the first period after birth:
until a week after birth or diagnosed during a hospital admission that started within 28 days after
Data includes late-term abortions.
Source of data: Until 1998 data source was gynaecological/birth departments. Since 1999 data from
paediatric departments are also included.
Data are not available.
Source of data: Ministry of Health - National Health Institute (INSA), Annual Report Coverage:
Source: Routine reporting system data (data collected from family physician)
Note: From year 2013, the number of births with congenital anomalies is reported (by GP) for
children between 0 and 4 years.
Source of data: Institute of Public Health of Serbia, Birth registration report. Data includes
congenital malformations diagnosed after birth and before discharge of newborn from the maternity
Source: National Health Information Centre (NIC)
Note: In year 2012, reporting obligations for congenital anomalies and Down syndrome reporting were
extended to child and adolescent paediatricians. In year 2011 and earlier only neonatologists were
required to report those conditions.
Selection of data - residents, respectively patients with permanent address in Slovakia (including
the homeless, residents without registration of permanent address, foreigners with permanent
address in Slovakia. In 1994 ICD-10 classification was implemented.
Data are not available.
Source: National Statistics Institute, extracted from ?Hospital Morbidity Survey?
Coverage: number of hospital discharges within first year of life encoded as ICD-9 Chapter XIV
Data are not available. These figures will be considered as meaningless for comparing countries. The
Swedish Medical Birth and Malformation Register only registers severe congenital anomalies.
Based on hospital discharge data. The data take into account the main, but also the supplementary
diagnosis. Source of data: FSO Federal Statistical Office, Neuchatel; Medical Statistics of
Hospitals; yearly census.
Coverage: Full coverage of hospitals; sufficient (nearly full) coverage of inpatient and day cases
since 2002. Due to a modification of the legislation, day cases are not collected in 2009 anymore.
Estimation method: Discharges without a valid ICD-code are not accounted for (negligible).
Break in time series: The gradual change of diagnosis classification since 2008 from ICD-10 WHO to
ICD-10 GM (German Modification) may lead to breaks for some categories.
The former Yugoslav Republic of Macedonia
Source: Institute for Public Health (IPH).
No data are available.
Source: Administrative medical statistics, forms: 19 ?Report on medical care for pregnant women,
women in labour and puerperant?, 14 ?Report on hospital activity?, 096/y ?Journal of labour? and
102/y ?Journal of newborns? registration?.
In establishments under Ministry of Health only.
Source: Centre of Health Statistics, Ministry of Health.
United Kingdom
England & Wales - National Congenital Anomaly System. Reported by ONS in ?Congenital Anomaly
Scotland - NHS National Services Scotland, Information Services Division (ISD). : Calendar year
from Scottish Stillbirth & Infant Death Survey. ISD has been modifying the way that record linkage
is performed and has recently implemented a technique which relies more heavily on the use of
Community Health Index (CHI) numbers and less heavily on the previous approach of probability
matching. Inevitably, this has changed the number of individuals identified with various conditions.
There has, therefore, been some revision of the congenital anomaly numbers reported from 2007

Coverage: Data prior to 2000 refer to England and Wales only. Data from 2000 refers to Great Britain
Scotland - 2011 data are no longer available
2009 onwards ? Data is no longer available as ONS is no longer producing the source publication.