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[Preventable perinatal mortality].

F Colla1, E Alba, R Grio

  • 1Dipartimento di Discipline, Ginecologiche Ostetriche, Cattedra B, Università degli Studi, Turin, Italy.

Minerva Ginecologica
|September 11, 2001
PubMed
Summary
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Preventable feto-neonatal deaths decreased significantly with improved care, though extra-clinical factors remain a challenge. Continued research in genetics offers future potential for reducing fetal and neonatal pathology.

Area of Science:

  • Perinatal Medicine
  • Public Health
  • Neonatology

Background:

  • Analysis of perinatal mortality rates to identify preventable feto-neonatal deaths.
  • Evaluation of current medical and scientific knowledge on preventing fetal and neonatal mortality.
  • Defining and assessing the feasibility of reducing preventable perinatal deaths.

Purpose of the Study:

  • To critically analyze perinatal mortality to determine if feto-neonatal deaths are still preventable.
  • To define and evaluate the feasibility of reducing preventable perinatal deaths based on current knowledge.
  • To compare clinical practices and their impact on perinatal mortality over two decades.

Main Methods:

  • Systematic critical analysis of perinatal mortality data from 1979-1998.

Related Experiment Videos

  • Distinguishing between clinically preventable and extra-clinically preventable deaths.
  • Utilizing maternal/neonatal records, death certificates, and autopsy findings for analysis.

    • Main Results:

    • Significant reduction in perinatal mortality rate from 1.77% to 1.02% between 1989-1998 (p<0.01).
    • Marked decrease in late fetal mortality (over 50%) during the second period.
    • Approximately 36.35% of perinatal deaths were deemed preventable, with most (90%) being extra-clinically preventable.

    Conclusions:

    • Directives for medical, obstetric, and social care are outlined to combat preventable perinatal deaths.
    • Advances in genetic research hold promise for limiting and reducing feto-neonatal pathology.
    • Ongoing efforts are needed to address both clinical and extra-clinical factors contributing to perinatal mortality.