Missouri
Birth Defects Counts and Prevalence 2018-2022 (Prevalence per 10,000 Live Births)
Defect
Maternal Race/Ethnicity
Total * Notes
White,
Non-Hispanic
Black,
Non-Hispanic
Hispanic,
Non-Hispanic
Asian or
Pacific Islander,
Non-Hispanic
American Indian
or Alaskan Native,
Non-Hispanic
Anencephaly 59 (2.3) 9 (1.7) <5 (†) 0 (0.0) 0 (0.0) 73 (2.1)
Anophthalmia / microphthalmia 27 (1.0) <5 (†) <5 (†) <5 (†) 0 (0.0) 32 (0.9)
Anotia / microtia 28 (1.1) 6 (1.1) <5 (†) 0 (0.0) 0 (0.0) 37 (1.0)
Aortic valve stenosis 47 (1.8) 8 (1.5) 5 (2.2) <5 (†) 0 (0.0) 63 (1.8)
Atrial septal defect 4710 (181.0) 1413 (265.1) 427 (185.1) 187 (182.4) 38 (294.8) 6887 (195.2)
Atrioventricular septal defect (endocardial cushion defect) 150 (5.8) 44 (8.3) 11 (4.8) <5 (†) 0 (0.0) 211 (6.0)
Biliary atresia 77 (3.0) 56 (10.5) 13 (5.6) 5 (4.9) <5 (†) 161 (4.6)
Bladder exstrophy <5 (†) <5 (†) <5 (†) 0 (0.0) <5 (†) 6 (0.2)
Choanal atresia 46 (1.8) 8 (1.5) 6 (2.6) 0 (0.0) <5 (†) 62 (1.8)
Cleft lip alone (without cleft palate) 115 (4.4) 15 (2.8) 7 (3.0) <5 (†) 0 (0.0) 140 (4.0)
Cleft lip with cleft palate 193 (7.4) 28 (5.3) 13 (5.6) <5 (†) <5 (†) 243 (6.9)
Cleft palate alone (without cleft lip) 204 (7.8) 42 (7.9) 17 (7.4) 6 (5.9) <5 (†) 280 (7.9)
Cloacal exstrophy 0 (0.0) <5 (†) <5 (†) 0 (0.0) 0 (0.0) <5 (†)
Clubfoot 745 (28.6) 123 (23.1) 45 (19.5) 22 (21.5) 5 (38.8) 956 (27.1)
Coarctation of aorta 193 (7.4) 38 (7.1) 18 (7.8) <5 (†) 0 (0.0) 256 (7.3)
Common truncus (truncus arteriosus or TA) 16 (0.6) <5 (†) <5 (†) <5 (†) 0 (0.0) 20 (0.6)
Congenital cataract 60 (2.3) 16 (3.0) 5 (2.2) <5 (†) <5 (†) 87 (2.5)
Congenital posterior urethral valves 37 (2.8) 13 (4.8) <5 (†) <5 (†) 0 (0.0) 56 (3.1) 1
Craniosynostosis 325 (12.5) 35 (6.6) 18 (7.8) 11 (10.7) <5 (†) 399 (11.3)
Deletion 22q11.2 37 (1.4) 13 (2.4) <5 (†) 0 (0.0) 0 (0.0) 54 (1.5)
Dextro-Transposition of great arteries (d-TGA) 95 (3.7) 13 (2.4) 7 (3.0) 5 (4.9) 0 (0.0) 122 (3.5)
Diaphragmatic hernia 129 (5.0) 36 (6.8) 7 (3.0) <5 (†) <5 (†) 175 (5.0)
Double outlet right ventricle (DORV) 79 (3.0) 21 (3.9) <5 (†) <5 (†) 0 (0.0) 107 (3.0)
Ebstein anomaly 25 (1.0) 6 (1.1) <5 (†) 0 (0.0) <5 (†) 34 (1.0)
Encephalocele 44 (1.7) 7 (1.3) <5 (†) 0 (0.0) 0 (0.0) 53 (1.5)
Esophageal atresia / tracheoesophageal fistula 78 (3.0) 12 (2.3) <5 (†) <5 (†) 0 (0.0) 93 (2.6)
Gastroschisis 101 (3.9) 16 (3.0) 12 (5.2) <5 (†) <5 (†) 135 (3.8)
Holoprosencephaly 28 (1.1) 10 (1.9) <5 (†) <5 (†) 0 (0.0) 41 (1.2)
Hypoplastic left heart syndrome 111 (4.3) 30 (5.6) 5 (2.2) <5 (†) <5 (†) 150 (4.3)
Hypospadias 1648 (123.4) 272 (100.4) 87 (74.8) 46 (87.0) <5 (†) 2080 (115.1) 1
Interrupted aortic arch (IAA) 22 (0.8) 5 (0.9) <5 (†) <5 (†) 0 (0.0) 33 (0.9)
Limb deficiencies (reduction defects) 137 (5.3) 32 (6.0) 12 (5.2) 7 (6.8) <5 (†) 194 (5.5)
Omphalocele 78 (3.0) 17 (3.2) 5 (2.2) 6 (5.9) <5 (†) 112 (3.2)
Pulmonary valve atresia 43 (1.7) 12 (2.3) <5 (†) <5 (†) 0 (0.0) 59 (1.7)
Pulmonary valve atresia and stenosis 196 (7.5) 53 (9.9) 19 (8.2) 9 (8.8) 0 (0.0) 279 (7.9)
Rectal and large intestinal atresia / stenosis 114 (4.4) 21 (3.9) 14 (6.1) 8 (7.8) <5 (†) 163 (4.6)
Renal agenesis / hypoplasia 229 (8.8) 50 (9.4) 16 (6.9) 6 (5.9) <5 (†) 304 (8.6)
Single ventricle 61 (2.3) 10 (1.9) 5 (2.2) <5 (†) 0 (0.0) 77 (2.2)
Small intestinal atresia / stenosis 83 (3.2) 28 (5.3) 14 (6.1) 5 (4.9) 0 (0.0) 132 (3.7)
Spina bifida without anencephaly 122 (4.7) 18 (3.4) 12 (5.2) 7 (6.8) <5 (†) 162 (4.6)
Tetralogy of Fallot (TOF) 129 (5.0) 38 (7.1) <5 (†) 7 (6.8) 0 (0.0) 180 (5.1)
Total anomalous pulmonary venous connection (TAPVC) 29 (1.1) <5 (†) <5 (†) <5 (†) 0 (0.0) 37 (1.0)
Transposition of the great arteries (TGA) 103 (4.0) 16 (3.0) 7 (3.0) 5 (4.9) 0 (0.0) 133 (3.8)
Tricuspid valve atresia 27 (1.0) 5 (0.9) <5 (†) <5 (†) 0 (0.0) 36 (1.0)
Tricuspid valve atresia and stenosis 27 (1.0) 5 (0.9) <5 (†) <5 (†) 0 (0.0) 36 (1.0)
Trisomy 13 23 (0.9) 7 (1.3) 0 (0.0) <5 (†) 0 (0.0) 32 (0.9)
Trisomy 18 67 (2.6) 12 (2.3) 8 (3.5) <5 (†) 0 (0.0) 93 (2.6)
Trisomy 21 (Down syndrome) 419 (16.1) 79 (14.8) 49 (21.2) 17 (16.6) <5 (†) 577 (16.4)
Turner syndrome 66 (5.2) 11 (4.2) <5 (†) <5 (†) <5 (†) 84 (4.9) 2
Ventricular septal defect 1506 (57.9) 333 (62.5) 151 (65.5) 46 (44.9) <5 (†) 2072 (58.7)
Total live births 260272 53310 23065 10253 1289 352884 3
Male Live Births 133589 27096 11634 5286 643 180689
Female Live Births 126678 26210 11429 4967 646 172183
Notes
1- Data for this condition include male and unknown infant sex cases only. Prevalence is calculated per 10,000 male live births.
2- Data for this condition include female and unknown infant sex cases only. Prevalence is calculated per 10,000 female live births.
3- Data for total live births include unknown infant sex.

General comments
†- Counts <5 and associated prevalences are suppressed
*- Data for totals include unknown/other race
Missouri
Birth Defects Counts and Prevalence 2018-2022 (Prevalence per 10,000 Live Births)
Defect
Maternal Age
Total *
Less than 35 years 35 of more years
Gastroschisis 129 (4.3) 6 (1.2) 135 (3.8)
Trisomy 13 18 (0.6) 14 (2.7) 32 (0.9)
Trisomy 18 46 (1.5) 47 (9.1) 93 (2.6)
Trisomy 21 (Down syndrome) 311 (10.3) 266 (51.8) 577 (16.4)
Total live births 301442 51370 352884
Notes
†- Counts <5 and associated prevalences are suppressed
*- Data for totals include unknown/other maternal age