“…The global prevalence of NOC is approximately 1:700 live births (Dixon, Marazita, Beaty, & Murray, ), but in Brazil, with considerable geographic variation, the prevalence ranges from 1:650 to 1:2,700 live births (Martelli‐Junior et al, ; Rodrigues, Sena, Roncalli, & Ferreira, ). NOC etiology is recognized as complex and heterogeneous, and though our understanding behind this malformation is evolving, the exact environmental and genetic risk factors associated remains not fully defined (Assis Machado et al, ; Beaty, Marazita, & Leslie, ). Many studies have supported the participation of maternal contact with agrotoxics, smoking, alcohol and some drugs, and folate supplementation during early pregnancy as the main environmental factors related to NOC etiology (Molina‐Solana, Yáñez‐Vico, Iglesias‐Linares, Mendoza‐Mendoza, & Solano‐Reina, ; Spinder et al, ; Xiao, Liu, Liu, Zhang, & Xue, ; Xuan et al, ).…”