The U.S. Public Health Service believes that the leading cause of birth defects in the United States is:

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According to the U.S. Public Health Service, alcohol abuse is the leading cause of birth defects in the United States. Consuming alcohol during pregnancy can lead to fetal alcohol syndrome, which can cause a range of physical, behavioral, and cognitive impairments in children. While smoking, drug abuse, and infectious disease can also increase the risk of birth defects, alcohol is the top cause.

The US Public Health Service Believes That the Leading Cause of of Birth