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Decreasing perinatal mortality in The Netherlands, 2000-2006: a record linkage study.

A C J Ravelli¹, M Tromp, M van Huis

¹Department of Medical Informatics, Academic Medical Center, Amsterdam, The Netherlands. a.c.ravelli@amc.uva.nl

Journal of Epidemiology and Community Health

|May 7, 2009

Summary

This summary is machine-generated.

Dutch perinatal mortality decreased from 2000-2006, with significant declines observed across most risk groups. However, overall levels remain high compared to European benchmarks, indicating ongoing challenges in reducing infant and fetal mortality rates.

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Transcutaneous Microcirculatory Imaging in Preterm Neonates

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Published on: December 31, 2015

Area of Science:

Perinatal health research
Public health surveillance
Epidemiology

Background:

Previous studies indicated higher perinatal mortality in The Netherlands compared to other European nations.
This study aimed to analyze recent trends and influencing risk factors in Dutch perinatal mortality.

Purpose of the Study:

To investigate the trend in perinatal mortality in The Netherlands between 2000 and 2006.
To identify the impact of various risk factors on this trend.

Main Methods:

A retrospective cohort study analyzed 1,246,440 singleton births from 2000-2006.
Data were linked from midwifery, obstetrics, and neonatology registries.
Perinatal mortality (fetal and early neonatal) was the primary outcome measure, with trend analysis performed with and without risk adjustment.

Main Results:

A significant decline in perinatal mortality was observed, from 10.5 to 9.1 per 1000 births.
This downward trend persisted after risk adjustment and was evident in both fetal and neonatal mortality.
The decline was most notable in births with congenital anomalies, premature births (32.0-36.6 weeks), and term births; home births had the lowest mortality risk.

Conclusions:

Dutch perinatal mortality showed a steady decline between 2000-2006, independent of known risk factors like advanced maternal age or non-western ethnicity.
The reduction was observed across most risk groups, excluding very premature births.
Despite the decline, Dutch perinatal mortality rates remain comparatively high by European standards.