“…Survival rates vary by defect (Goldstein and Nielsen, 1988;Lynberg et al, 1991;Druschel et al, 1996a;Druschel et al, 1996b;Leonard et al, 2000;Nembhard et al, 2001;Cleves et al, 2003;Forrester and Merz, 2003;Rasmussen et al, 2003) and are influenced by several factors including gestational age at birth and size at birth. Infants with birth defects are more often born at earlier gestational ages, i.e., preterm (<37 completed weeks of gestation) and smaller sizes at birth, i.e., small for gestational age (SGA; <10th percentile of birth weight for gestational age) than infants without birth defects (Khoury et al, 1988;Mili et al, 1991;Rasmussen et al, 2001;Dolan et al, 2007;Malik et al, 2007;Purisch et al, 2008 (Reddy et al, 1999;Dees et al, 2000;Suresh et al, 2001;Kecskes and Cartwright, 2002).Although infants are often born with different gestational age and size at birth combinations (e.g., born preterm and SGA) that affects their risk of mortality (Tyson et al, 1995;Zaw et al, 2003;Kristensen et al, 2007), no population-based studies have described the risk of mortality associated with gestational age and size at birth subgroups among infants with birth defects. Moreover, maternal race/ethnicity may further modify the risk of childhood mortality for gestational age and size at birth combinations.…”