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Records in the obstetric wards and nurseries of 18 hospitals were reviewed and studied epidemiologically, covering about , deliveries and cases of neural tube defects NTD. All live and still births occurred in the period Following the NTD classification used by Koch , our case series consisted of anencephalus Overall NTD prevalence rate at birth was 4 per thousand, obviously higher than those in most other countries. Marked urban-rural differences in NTD prevalence rate at birth were observed. The rate in rural areas after correction for selection bias was still as high as 7.
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