TY - JOUR
T1 - Characteristics of a global classification system for perinatal deaths
T2 - a Delphi consensus study
AU - Wojcieszek, Aleena M.
AU - Reinebrant, Hanna E.
AU - Leisher, Susannah Hopkins
AU - Allanson, Emma
AU - Coory, Michael
AU - Erwich, Jan Jaap
AU - Froen, J. Frederik
AU - Gardosi, Jason
AU - Gordijn, Sanne
AU - Gulmezoglu, Metin
AU - Heazell, Alexander E. P.
AU - Korteweg, Fleurisca J.
AU - McClure, Elizabeth
AU - Pattinson, Robert
AU - Silver, Robert M.
AU - Smith, Gordon
AU - Teoh, Zheyi
AU - Tuncalp, Ozge
AU - Flenady, Vicki
PY - 2016/8/15
Y1 - 2016/8/15
N2 - Background: Despite the global burden of perinatal deaths, there is currently no single, globally-acceptable classification system for perinatal deaths. Instead, multiple, disparate systems are in use world-wide. This inconsistency hinders accurate estimates of causes of death and impedes effective prevention strategies. The World Health Organisation (WHO) is developing a globally-acceptable classification approach for perinatal deaths. To inform this work, we sought to establish a consensus on the important characteristics of such a system.Methods: A group of international experts in the classification of perinatal deaths were identified and invited to join an expert panel to develop a list of important characteristics of a quality global classification system for perinatal death. A Delphi consensus methodology was used to reach agreement. Three rounds of consultation were undertaken using a purpose built on-line survey. Round one sought suggested characteristics for subsequent scoring and selection in rounds two and three.Results: The panel of experts agreed on a total of 17 important characteristics for a globally-acceptable perinatal death classification system. Of these, 10 relate to the structural design of the system and 7 relate to the functional aspects and use of the system.Conclusion: This study serves as formative work towards the development of a globally-acceptable approach for the classification of the causes of perinatal deaths. The list of functional and structural characteristics identified should be taken into consideration when designing and developing such a system.
AB - Background: Despite the global burden of perinatal deaths, there is currently no single, globally-acceptable classification system for perinatal deaths. Instead, multiple, disparate systems are in use world-wide. This inconsistency hinders accurate estimates of causes of death and impedes effective prevention strategies. The World Health Organisation (WHO) is developing a globally-acceptable classification approach for perinatal deaths. To inform this work, we sought to establish a consensus on the important characteristics of such a system.Methods: A group of international experts in the classification of perinatal deaths were identified and invited to join an expert panel to develop a list of important characteristics of a quality global classification system for perinatal death. A Delphi consensus methodology was used to reach agreement. Three rounds of consultation were undertaken using a purpose built on-line survey. Round one sought suggested characteristics for subsequent scoring and selection in rounds two and three.Results: The panel of experts agreed on a total of 17 important characteristics for a globally-acceptable perinatal death classification system. Of these, 10 relate to the structural design of the system and 7 relate to the functional aspects and use of the system.Conclusion: This study serves as formative work towards the development of a globally-acceptable approach for the classification of the causes of perinatal deaths. The list of functional and structural characteristics identified should be taken into consideration when designing and developing such a system.
KW - Stillbirth
KW - Perinatal death
KW - Neonatal death
KW - Classification
KW - Systems
KW - Causes of death
KW - STILLBIRTHS
KW - MORTALITY
KW - COUNT
U2 - 10.1186/s12884-016-0993-x
DO - 10.1186/s12884-016-0993-x
M3 - Article
SN - 1471-2393
VL - 16
JO - BMC Pregnancy and Childbirth
JF - BMC Pregnancy and Childbirth
M1 - 223
ER -