This work is aimed at the basic condition of infants with limb reduction defect (LRD) in China. 822 cases of LRD occurring among 1,243,284 live and stillbirths of 28 or more gestation weeks in China from Oct. 1986 to Sept. 1987 were analysed. The overall prevalence of LRD was 6.6 per 10,000 ranging from 14.4 per 10,000 to 3.6 per 10,000. No sex difference was observed. The prevalence of LRD in infants with low birthweight was significantly higher than that in infants with normal birthweight (P < 0.001). Also the prevalence of LRD in rural area was higher than that in urban area (P < 0.001). Four-limb involvement was most common. The cases with only upper limb involvement (278/451, 61.6%) were significantly more prevalent than those with only lower limb involvement (173/451, 38.4%, P < 0.001), but no difference was found between the left LRD and right LRD (P > 0.05), nor was a significant difference noted between single LRD and multiple LRD. 75.8% of the infants with LRD had defects in other systems.