G. Jaikrishan|K. R. Sudheer|V. J. Andrews|P. K. M. Koya|M. Madhusoodhanan|C. K. Jagadeesan|M. Seshadri
Study of stillbirth and major congenital anomaly among newborns in the high-level natural radiation areas of Kerala, India
Victoria Hospital|Government of Kerala
monitoring newborns adverse outcomes like stillbirth major congenital anomalies mca carried government hospitals since 1995 around highlevel natural radiation areas narrow strip land southwest coast kerala india natural deposits monazite sand containing thorium daughter products account elevated levels natural radiation among 141540 newborns 140558 deliveries 139589 singleton 957 twins 681 11 triplets 0078 one quadruplet screened 615 435 stillbirth mca seen 1370 968 newborns clubfoot 404 285 frequent mca followed hypospadias 152 210 among male newborns congenital heart disease 168 119 cleft lippalate 149 105 syndrome 104 073 neural tube defects 72 051 newborns mca among stillbirths 20fold higher 19024 117615 compared 889 1253140925 among live births p 001 logistic regression carried compare stillbirth overall specific mca among newborns areas dose levels 15 15130 30160 6 mgyyear controlling maternal age birth gravida consanguinity ethnicity gender baby clubfoot showed higher prevalence 326 dose level 15130 mgyyear compared 233 15 mgyyear 139 95 ci 112172 without indication clear doseresponse prevalences stillbirth overall mca specific mca similar across different dose levels relatively lower reported elsewhere india probably due better literacy health awareness practices study population