Open AccessClassification Of Perinatal And Late Neonatal Deaths In Iceland
Author(s) -
Georgsdóttir Ingibjörg,
Geirsson Reynir Tómas,
Jóhannsson Jóhann Heidar,
Biering Gunnar,
Snzdal Gunnlaugur
Publication year - 1989
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016348909009895
Subject(s) - medicine , perinatal mortality , population , pediatrics , obstetrics , neonatal death , infant mortality , cause of death , retrospective cohort study , antepartum haemorrhage , pregnancy , fetus , disease , gestation , surgery , genetics , environmental health , biology
A retrospective case record analysis of all perinatal and late neonatal deaths in Iceland in the periods 1976–80 and 1981–85 was done and the causes of death classified according to the extended Aberdeen classification. There was a significant (p<0.0001) reduction in number of deaths between the two periods with perinatal mortality rates declining from 10.6/1000 in 1976–80 to 6.8/1000 in 1981–85. In 1976–80 there were 81 (33%) antepartum, 37 (15%) intrapartum and 128 (52%) neonatal deaths compared to 61 (38%) antepartum, 13 (8%) intrapartum and 86 (54%) neonatal deaths in 1981–85. Fetal abnormality was the most common cause of death in both periods followed by the category Low birthweight in 1976–80. In 1981–85 increased morphological detection of infection in infants of very low birthweight by placental examination and autopsies lead to a shift from the category Low birthweight to Maternal Disease , the second most common cause in that period. To achieve lower perinatal mortality rates efforts should be directed towards lowering anteparturn losses near term and increasing survival of very low birthweight infants.