Appendix 2: Twenty-three Notable Birth Defect Cases Recorded in 2012
(CASE1)
DOB: 29-8-2012
Address: Alaskary district
Birth order & condition of other siblings: 3rd, 2 normal older siblings
Diagnosis: Left foot syndactyly
Type of delivery: Normal vaginal delivery
Pregnancy history: Normal
Family history of this or other anomaly: Negative
Abortions: Negative
Still births: Negative
Mother’s age & occupation: 27 yrs., house wife
Father's age & occupation: 33 yrs., free worker
Degree of kinship: Not relatives―――――――――――――――――――――――――――――――――(CASE2)
DOB: 25-12-2012
Address: Fallujah- Jighaifi
Birth order & condition of other siblings: 1stDiagnosis: Congenital large bowel obstruction
Type of delivery: Normal vaginal delivery
Pregnancy history: Normal
Family history of this or other anomaly: Negative
Abortions: Negative

Still births: Negative
Mother's age & occupation: 18 yrs., house wife
Father's age & occupation: 28 yrs., free worker
Degree of kinship: Not relatives――――――――――――――――――――――――――――――――――(CASE3)
DOB: 30-10-2012
Address: Fallujah – Alshuhada'a dBirth order & condition of other siblings: 4th, older brother & 2 sisters normal
Diagnosis: Hydrocephaly, spina bifida + meningocele
Type of delivery: Cesarean section at Talib hospitalPregnancy history: Normal
Family history of this or other anomaly: Negative
Abortions: Negative
Still births: Negative
Mother's age & occupation: 35 yrs., house wife
Father's age & occupation: 37 yrs., free worker
Degree of kinship: 1st degree――――――――――――――――――――――――――――――――――

(CASE4)
DOB: 17-12-2012
Address: Halabsah - Rashad
Birth order & condition of other siblings: 7thDiagnosis: Down syndrome
Type of delivery: Normal vaginal delivery
Pregnancy history: Normal
Family history of this or other anomaly: A 3rd degree relative has a neural tube defectAbortions: Negative
Still births: Negative
Mother's age & occupation: 38 yrs., housewife
Father's age & occupation: 40 yrs., free worker
Degree of kinship: 3rd degree;――――――――――――――――――――――――――――――――(CASE5)
DOB: 8-7-2012
Address: Garmah
Birth order & condition of other siblings: 8th, 7 normal siblings
Diagnosis: Hydrocephaly
Type of delivery: Normal vaginal delivery
Pregnancy history: Normal
Family history of this or other anomaly: Negative
Abortions: Negative
Still births: Negative
Mother's age & occupation: 33 yrs., house wife

Father's age & occupation: 33 yrs., free worker
Degree of kinship: 3rd degree―――――――――――――――――――――――――――――――(CASE6)
DOB: Stillbirth, 24-12-2012
Address: Fallujah- Bu'alwan subdistrict
Type of anomaly: Anencephaly, upper spina bifida, abnormally long upper & lowerlimbs (frog like)
Birth order & condition of other siblings: 3rd, 1 normal living sibling & 1 deformed
stillbirth
Pregnancy history: Normal
Type of delivery: Normal vaginal delivery
Abortions: Negative
Stillbirths: 1Family history of anomalies: Negative
Mother: 19 yrs., house wife
Father: 26 yrs., free worker
Degree of kinship:

―――――――――――――――――――――――――――――――(CASE7)
DOB: 12-12-2012
Address: Fallujah (Nazzal) then Haditha for the last 2 yrs.
Birth order & condition of other siblings: 3rd, 2 normal older sisters
Diagnosis: Gastroschisis (defect very near & to the right of umbilical stump with
herniation of stomach, small & large intestine) + partial syndactyly of right footType of delivery: Normal vaginal delivery
Pregnancy history: Normal
Family history of this or other anomaly: Negative
Abortions: Negative
Still births: Negative
Mother's age & occupation: 21 yrs., house wife
Father's age & occupation: 41 yrs., free worker
Degree of kinship: Not relatives―――――――――――――――――――――――――――――――(CASE8)
DOB: 4-2012
Address: Fallujah- Jbail
Birth order & condition of other siblings: 2nd, normal older sister
Diagnosis: Bilateral club feetType of delivery: Normal vaginal delivery
Pregnancy history: Normal
Family history of this or other anomaly: Negative
Abortions: Negative
Still births: NegativeMother's age & occupation: 17 yrs., house wife
Father's age & occupation: 24 yrs., free worker
Degree of kinship: 2nd degree―――――――――――――――――――――――――――――――(CASE9)
DOB: 21-10-2011
Address: Garmah – Ibrahim bin Ali
Birth order & condition of other siblings: 2nd, 1st sister (aged 3.4 yrs.) born withmicrocephaly & cerebral palsy
Diagnosis: Microcephaly
Type of delivery: Normal vaginal delivery
Pregnancy history: NormalFamily history of this or other anomaly: Negative
Abortions: Negative
Still births: Negative
Mother's age & occupation: 27 yrs., house wife
Father's age & occupation: 27 yrs., free workerDegree of kinship: 2nd degree―――――――――――――――――――――――――――――――

(CASE10)
DOB: 17-12-2012
Address: Nu'aimeya district
Birth order & condition of other siblings: 4th, 3 normal siblings
Diagnosis: Down syndrome + congenital hydronephrosis
Type of delivery: Normal vaginal delivery
Pregnancy history: Normal
Family history of this or other anomaly: Negative
Abortions: 3 (one in 2004 and two in 2006)
Still births: Negative
Mother's age & occupation: 40 yrs., house wife
Father's age & occupation: 50 yrs., free worker
Degree of kinship: Not relatives―――――――――――――――――――――――――――――――(CASE11)
DOB: 2007
Address: Zowba'aBirth order & condition of other siblings: 4th, two older normal sisters & one 7 month
old normal brother
Diagnosis: Right hand acheiria
Type of delivery: Normal vaginal delivery
Pregnancy history: NormalFamily history of this or other anomaly: Negative
Abortions: Two after this child
Still births: Negative
Mother's age & occupation: 32 yrs. old, house wife
Father's age & occupation: 33 yrs., primary school teacherDegree of kinship: 2nd degree

Additional notes: Mother developed secondary infertility for the three years following
her two abortions―――――――――――――――――――――――――――――――(CASE12)
DOB: 12-10-2012, died shortly after birth
Address: Fallujah – A'amerya-Buhsay
Type of anomaly: Multiple (big head, club feet, arythrogryposis)
Birth order & condition of other siblings: 1stPregnancy history: Normal
Type of delivery: Cesarean section
Abortions: 1Stillbirths: Negative
Family history of anomalies: Positive, 3 cousins from father’s side with history ofconsanguinity have had multiple stillbirths
Mother: 22 yrs., house wife
Father: 23 yrs., policeman
Degree of kinship: 2nd degree relatives―――――――――――――――――――――――――――――――

(CASE13)
DOB: 20-11-2012
Address: Fallujah- Joolan
Birth order & condition of other siblings: 7th, 6 normal siblings
Diagnosis: Down syndrome + ambiguous genitalia
Type of delivery: Normal vaginal delivery
Pregnancy history: Normal
Family history of this or other anomaly: Negative
Abortions: Negative
Still births: Negative
Mother's age & occupation: 38 yrs., house wife
Father's age & occupation: 33 yrs., free worker
Degree of kinship: 1st degree―――――――――――――――――――――――――――――――(CASE14)
DOB: 27-9-2012
Address: Fallujah – Almu'tasim district
Birth order & condition of other siblings: 2nd, normal 3 yrs. older brother
Diagnosis: Abnormal scrotum, ectopic urethral opening, congenital heart defectType of delivery: Cesarean section
Pregnancy history: Normal
Family history of this or other anomaly: Negative
Abortions: Negative
Still births: NegativeMother's age & occupation: 20 yrs., house wife
Father's age & occupation: 25 yrs., free worker
Degree of kinship: 2nd degree relatives

―――――――――――――――――――――――――――――――(CASE15)
DOB: 20-8-2012
Address: Fallujah-SichirType of anomaly: Hydrocephaly, spina bifida+ meningocele
Birth order & condition of other siblings: 2nd, normal 4 year older brotherPregnancy history: Normal, didn't take folic acid during pregnancy
Type of delivery: Normal vaginal delivery
Abortions: Negative
Stillbirths: Negative
Family history of anomalies: Negative
Mother: 32 yrs., house wife
Father: 38 yrs., farmer
Not relatives―――――――――――――――――――――――――――――――(CASE16)
DOB: 6-12-2012
Address: Garmah
Type of anomaly: Spina bifida + meningocele
Birth order & condition of other siblings: 1stPregnancy history: Normal but didn't take folic acid during pregnancy
Type of delivery: Normal vaginal delivery

Abortions: Negative
Stillbirths: Negative
Family history of anomalies: Negative
Mother: 16 yrs., house wife
Father: 32 yrs., free worker
Degree of kinship: 3rd degree―――――――――――――――――――――――――――――――(CASE17)
DOB: 9-9-2012
Address: Khaledeya -Jizeerah
Birth order & condition of other siblings: 3rd, normal boy born in 2011, female bornwith hydrocephaly in 2010 died 30 min. after birth
Diagnosis: Microcephaly, alopecia totalis, hypotonia, congenital heart defectType of delivery: Normal vaginal delivery
Pregnancy history: Normal
Family history of this or other anomaly: Mother's sister (whose husband is her cousin)
has also had 3 stillbirths with hydrocephaly
Abortions: 1 in 2007
Still births: Negative
Mother's age & occupation: 27 yrs., house wife
Father's age & occupation: 31 yrs., primary school teacher
Degree of kinship: 1st degree

―――――――――――――――――――――――――――――――(CASE18)
DOB: 18-12-2012, died on 19-12
Address: Fallujah- Zowba'aBirth order & condition of other siblings: 9thDiagnosis: Dysmorphic features, low set ears, claw hands with overlapped fingers,
small penis, long toes
Type of delivery: Normal vaginal delivery
Pregnancy history: 3rd trimester bleeding
Family history of this or other anomaly: Uncle has Down syndrome
Abortions: 3
Still births: Negative
Mother's age & occupation: 37 yrs., house wife
Father's age & occupation: 35 yrs., free worker
Degree of kinship: 2nd degree―――――――――――――――――――――――――――――――(CASE19)
DOB: 13-9-2012
Address: Zaidan
Type of anomaly: Hydrocephalus
Birth order & condition of other siblings: 6th, normal siblings
Pregnancy history: Normal
Type of delivery: Normal vaginal delivery
Abortions: Negative
Stillbirths: Negative
Family history of anomalies: Cousin from mother’s side has Down syndrome
Mother: 24 yrs., house wife
Father: 26 yrs., free worker
Degree of kinship: 2nd

―――――――――――――――――――――――――――――――(CASE20)
DOB: 9-2012
Address: Garmah
Birth order & condition of other siblings: 7th, 6 normal siblings
Diagnosis: Hydrocephaly, operated on
Type of delivery: Normal vaginal delivery
Pregnancy history: Normal
Family history of this or other anomaly: Negative
Abortions: Negative
Still births: Negative
Mother's age & occupation: 28 yrs., house wife
Father's age & occupation: 30 yrs., free worker
Degree of kinship: 1st degree―――――――――――――――――――――――――――――――(CASE21)
DOB: 4-11-2012
Address: Fallujah- Joolan
Birth order & condition of other siblings: 1stDiagnosis: Brachycephaly, congenitally amputated hands & toes (amniotic bands)
Type of delivery: Normal vaginal delivery
Pregnancy history: Normal
Family history of this or other anomaly: Negative

Abortions: Negative
Still births: Negative
Mother's age & occupation: 18 yrs., housewife
Father's age & occupation: 23 yrs., free worker
Degree of kinship: 3rd degree relatives―――――――――――――――――――――――――――――――(CASE22)
DOB: 25-11-2012
Address: Garmah
Type of anomaly: Cystic hygroma
Birth order & condition of other siblings: 7th, 6 normal siblings
Pregnancy history: Normal
Type of delivery: Normal vaginal delivery
Abortions: Negative
Stillbirths: Negative
Family history of anomalies: Negative
Mother: 28 yrs., house wife
Father: 32 yrs., free worker
Degree of kinship: 2nd degree―――――――――――――――――――――――――――――――(CASE23)
DOB: 15 – 12-2012
Address: Saglaweya

Type of anomaly: Hydrocephaly, spina bifida + meningocele
Birth order & condition of other siblings: 2ndPregnancy history: Normal
Type of delivery: Cesarean section
Abortions: Negative
Stillbirths: Negative
Family history of anomalies: Negative
Mother: 18 yrs., house wife
Father: 25 yrs., free worker
Degree of kinship: 2nd degree―――――――――――――――――――――――――――――――(CASE24)
DOB: 1-11-2012
Address: Falahat - Fallujah
Type of anomaly: Thanatophoric dysplasia + omphaloceleBirth order & condition of other siblings: 2nd, normal 1st baby
Pregnancy history: Normal
Type of delivery: Cesarean section
Abortions: 1Stillbirths: Negative
Family history of anomalies: Unknown
Mother: 20 yrs., house wife
Father: Unknown
Degree of kinship: Unknown