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[Perinatal data between 1992 and 1996].

W Rettwitz-Volk1

  • 1Klinik für Kinder und Jugendliche, Städtisches Krankenhaus Friedrichshafen.

Zeitschrift Fur Geburtshilfe Und Neonatologie
|September 14, 1999
PubMed
Summary

A 1994 German law change lowered the registration threshold for premature infants. This led to a slight increase in overall perinatal mortality, particularly for infants under 2500g.

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Area of Science:

  • Perinatal medicine
  • Public health policy
  • Neonatal statistics

Context:

  • In 1994, German federal law changed the registration requirement for premature infants, lowering the birthweight threshold from 1000g to 500g.
  • This legislative change impacted the collection and reporting of neonatal data in Germany.

Purpose:

  • To analyze the impact of the 1994 German federal law change on perinatal mortality rates.
  • To assess the effects of the revised registration threshold for premature infants on national statistics.

Summary:

  • The revised law mandated the registration of premature infants weighing between 500g and 1000g.
  • National statistics from the Statistisches Bundesamt showed a slight increase in overall perinatal mortality following the law change.
  • A notable rise in perinatal mortality was observed specifically in premature infants with birthweights under 2500g.

Impact:

  • The study highlights the sensitivity of perinatal mortality statistics to changes in registration thresholds.
  • It indicates a potential confounding effect of reporting changes on observed mortality trends.
  • Overall perinatal mortality in 1996 was recorded at 0.68%, with specific subgroup increases noted.

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