“…These findings are consistent with other seasonality analyses of ventricular septal defect, endocardial cushion defect, and renal defect (Bound et al,1989). There have been mixed results of seasonality reported in the literature for encephalocele (Castilla et al,1990; Roux et al,2009), anotia and microtia (Castilla et al,1990; Liu et al,2011), pulmonary valve atresia or stenosis (Bound et al,1989; Bosshardt et al,2005; Siffel et al,2005), biliary atresia (Caton et al,2004; The et al, 2004; Wada et al,2007; Yoon et al,1997; Livesey et al,2009), and trisomy 18 (Gadow et al,2006; Tonelli et al,2006). In contrast, there have been only negative reports of hydrocephalus (Sandahl, 1977b; Castilla et al,1990), congenital cataract (Haargaard et al,2005), transposition of the great arteries (Bound et al,1989), coarctation of the aorta (Bound et al,1989; Tikkanen and Heinonen,1993), and limb reduction (Bound et al,1989).…”