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[Perinatal mortality in The Netherlands 2000-2006; risk factors and risk selection]
A C J Ravelli1, M Eskes, M Tromp
1Afd. Klinische Informatiekunde, Academisch Medisch Centrum/Universiteit van Amsterdam, Postbus 22.660, 1100 DD Amsterdam. a.c.ravelli@amc.uva.nl
Nederlands Tijdschrift Voor Geneeskunde
|February 6, 2009
Summary
Perinatal mortality in The Netherlands is influenced by factors like non-Western ethnicity and nulliparity, with very preterm births posing the highest risk. Further research is needed for both very preterm and full-term infant mortality.
Area of Science:
- Perinatal health research
- Reproductive epidemiology
- Public health surveillance
Background:
- Perinatal mortality rates and associated risk factors require ongoing investigation.
- Understanding risk selection in pregnant populations is crucial for improving outcomes.
Purpose of the Study:
- To analyze recent perinatal mortality figures in The Netherlands.
- To identify key risk factors, risk groups, and risk selection patterns in pregnant women.
Main Methods:
- Retrospective cohort study utilizing linked national birth and neonatal registration data.
- Analysis of 1.3 million births between 2000-2006, focusing on perinatal mortality.
Main Results:
- Perinatal mortality was 9.8 per 1000 births in 2006. Non-Western ethnicity and nulliparity were significant risk factors.
- Very preterm births (22.0-25.6 weeks) accounted for 29% of perinatal mortality, with a risk of 935 per 1000 births.
- Full-term births had lower mortality, but variations existed based on birth location (home, outpatient, hospital referral).
Conclusions:
- Maternal age and high parity are less significant risk factors than anticipated at a population level.
- Detailed research into the mortality of very preterm and full-term infants is warranted.
- Risk factors like non-Western ethnicity and nulliparity require targeted attention.
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