A multilayered approach for the analysis of perinatal mortality using different classification systems

Sanne J. Gordijn, Fleurisca J. Korteweg, Jan Jaap H. M. Erwich, Jozien P. Holm, Mariet Th. van Diem, Klasien A. Bergman, Albertus Timmer*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

24 Citations (Scopus)

Abstract

Many classification systems for perinatal mortality are available, all with their own strengths and weaknesses: none of them has been universally accepted. We present a systematic multilayered approach for the analysis of perinatal mortality based on information related to the moment of death, the conditions associated with death and the underlying cause of death, using a combination of representatives of existing classification systems. We compared the existing classification systems regarding their definition of the perinatal period, level of complexity, inclusion of maternal, foetal and/or placental factors and whether they focus at a clinical or pathological viewpoint. Furthermore. we allocated the classification systems to one of three categories: 'when', 'what' or 'why', dependent on whether the allocation of the individual cases of perinatal mortality is based on the moment of death ('when'), the clinical conditions associated with death ('what'), or the underlying cause of death ('why'). A multilayered approach for the analysis and classification of perinatal mortality is possible by using combinations of existing systems; for example the Wigglesworth or Nordic Baltic ('when'), ReCoDe ('what') and Tulip ('why') classification systems. This approach is useful not only for in depth analysis of perinatal mortality in the developed world but also for analysis of perinatal mortality in the developing countries, where resources to investigate death are often limited. (C) 2009 Elsevier Ireland Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)99-104
Number of pages6
JournalEUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
Volume144
Issue number2
DOIs
Publication statusPublished - Jun-2009

Keywords

  • Perinatal mortality
  • Stillbirth
  • Classification
  • Approach
  • CLINICAL CLASSIFICATION
  • NEONATAL DEATHS
  • FETAL-DEATH
  • STILLBIRTH
  • WASTAGE
  • ETIOLOGY
  • AUTOPSY
  • ENGLAND
  • WEIGHT
  • WALES

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