Major Classifications

Type of Defects

Mode of Diagnosis

Risk of Recurrences

Neural Tube Defect (NTD)

Isolated NTD

ultrasonography, X-ray, CT/MRI and necropsy

3% - 5% after 1 affected child

Anencephaly

Spina Bifida (meningocele or meningomyelocele)

Encephalocele

Craniorachischisis

Iniencephaly

Anen-iniencephaly

Syndromic NTD

ultrasonography, X-ray, CT/MRI, chromosomal analysis or molecular analysis (Meckel syndrome) and necropsy

With chromosomal abnormality (trisomy 13, trisomy 18, monosomy X, etc.)

chromosomal analysis (cytogenetics, fluorescent in situ hybridization, etc.)

less than 1% plus maternal age wise risk

With multiple malformation:

ultrasonography, X-ray, CT/MRI, and necropsy

sporadic to 25%

Amniotic band syndrome/limb body wall complex

as above

sporadic

Sirenomelia

as above

sporadic

Meckel syndrome

molecular analysis

25%

Chromosomal Abnormality

ultrasonography, X-ray, chromosomal analysis & necropsy

Trisomy 18

chromosomal analysis

less than 1% plus maternal age wise risk

Trisomy 21

chromosomal analysis

less than 1% plus maternal age wise risk

Monosomy X

chromosomal analysis

less than 1%

Triploidy

chromosomal analysis

sporadic

Amniotic band syndrome/limb body wall complex

ultrasonography, X-ray, CT/MRI and necropsy

sporadic

Hydrops fetalis

ultrasonography, X-ray, chromosomal analysis, inborn error of metabolism screening, necropsy and histopathology

Cystadenomatoid malformation of lung

sporadic

Twin twin transfusion syndrome

sporadic

Umbilical cord knot

sporadic

Idiopathic

sporadic to 25%

Hydrolethalus syndrome

autosomal recessive

Skeletal dysplasia

variable

Iniencephaly

3% - 5% after 1 affected child