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Background Birth defects are one of the causes of pediatric disability and mortality in all around the world. Data onbirth defects from population-based studies originating from developing countries are lacking. Cleft lip (CL), cleft lipand palate (CLP), and isolated cleft palate (CP), collectively termed oral clefts, occur in all races, both sexes, and allsocioeconomic groups and vary internationally (1). The main aim of this research is to establish the frequency of cleftlip and/or palate in the population of the Al-Ramadi City, and to characterize the demographic features of affectedindividuals and find possible risk factors.Materials and methods We conducted a survey of the Educational Maternal and Pediatric Hospital in Al-Ramadi city.The sample population comprised all 5100 babies born at Al-Ramadi City during the 5 months period 1 January 2013to 31 May 2013. Statistical tests used Pearson’s chi-square test, Student’s t-test and Spearman’s correlation coefficienttest according to the type of parameter tested.Results: During the study period 15 babies were born with oro-facial cleft. The overall incidence of cleft lip and palatewas 2.94 per 1000. Cleft palate was significantly more frequent in male than female babies (P = 0.81).Conclusions: A high incidence of facial clefts in this city was seen. This change may be attributed to the wars thatoccur in Iraq in the last years so increased pollutions and decreased prenatal care in the Iraqi population as part ofsocial and health-related behavior changes

Cleft lip --- cleft palate --- congenital anomalies --- epidemiology --- Iraq health