We used official statistics of births and stillbirths in 1945-1954 to evaluate reproductive outcomes in the general population following use of DDT during a 1946-1950 anti-malarial campaign in the Italian region of Sardinia. Due to the disruption of registration systems in the World War II years, data in the pre-DDT years were available only for 1945-1946. Such a short period of observation, and social conditions in the war and post-war years, do not allow exclusion of adverse effects of DDT on birth rate; however, we did not observe an effect. The stillbirth rate, infant mortality rate, and male/female ratio in newborns were apparently unaffected following widespread but focused use of DDT in Sardinia, Italy.