1991
DOI: 10.1111/j.1365-3016.1991.tb00689.x
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Why do UK‐born Pakistani babies have high perinatal and neonatal mortality rates?

Abstract: A prospective study of 4934 babies of different ethnic groups has confirmed the high perinatal mortality rate for Pakistanis and has shown that this was not due to a reluctance to terminate a fetus who is known to be seriously malformed. The major cause of early mortality was a high rate of lethal malformations, which occurred in about 1 in 100 Pakistani babies and which accounted for about half of their perinatal mortality. Many of these were autosomal recessive and occurred only in the offspring of consangui… Show more

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Cited by 52 publications
(18 citation statements)
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“…In the 11 year period between 1982 and 1992, the WMRCTRG registered 1420 cases of malignant disease in children under 15 years of age. Of these, 1188 were in white children, 161 in Asian children, 28 in Afro-Caribbeans, and 43 in children of other or mixed race.…”
Section: Resultsmentioning
confidence: 99%
“…In the 11 year period between 1982 and 1992, the WMRCTRG registered 1420 cases of malignant disease in children under 15 years of age. Of these, 1188 were in white children, 161 in Asian children, 28 in Afro-Caribbeans, and 43 in children of other or mixed race.…”
Section: Resultsmentioning
confidence: 99%
“…Consanguineous marriage, for which there is a cultural preference in many countries, is one important risk factor for mental retardation (MR) and other congenital disorders. This has been amply documented by a significant excess of (both severe and mild) MR in the progeny of consanguineous matings (Al-Ansari 1993;Bittles 2001;Bundey et al 1991;Durkin et al 1998;Fernell 1998;Kulkarni and Kurian 1990;Temtamy et al 1994;Yaqoob et al 1995) and finds further support in the linear correlation between the birth prevalence of congenital disorders and the coefficient of consanguinity observed by Bittles and Neel (1994). Both observations argue for a prominent role of autosomal recessive factors in the etiology of MR.…”
Section: Introductionmentioning
confidence: 92%
“…If both parents are from the same extended family, in particular, if they are first cousins, the chances of them each having the same recessive gene is increased (Lancet 1991). A high rate of first cousin marriage in Bradford Pakistanis and in their parents, irrespective of whether they were living in the UK or in Pakistan when they married (Bunday et al 1991) is, therefore, likely to increase the prevalence of autosomal recessive disorders and contribute to the infant mortality rate disproportionately in Pakistani babies.…”
Section: Discussionmentioning
confidence: 99%