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Perinatal mortality in southern Italy.

A Pisacane1, L Quagliata, B Scarpellino

  • 1Department of Paediatrics, University of Naples, Italy.

Paediatric and Perinatal Epidemiology
|January 1, 1991
PubMed
Summary

Perinatal mortality in Campania, Italy, was high in 1982, particularly among normal birthweight infants. This excess mortality was linked to preventable factors, not just birthweight distribution.

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Area of Science:

  • Perinatal epidemiology
  • Public health research
  • Italian healthcare analysis

Background:

  • Perinatal deaths in Campania, southern Italy, during 1982 were analyzed.
  • The overall perinatal mortality rate was 17.6 per thousand births.

Purpose of the Study:

  • To investigate the causes of high perinatal mortality in Campania.
  • To compare mortality rates with developed countries like Sweden.
  • To identify preventable factors in perinatal care.

Main Methods:

  • Analysis of perinatal death data from Campania, 1982.
  • Comparison of mortality rates and birthweight distributions with Swedish data.
  • Examination of causes of death, despite limited autopsy data.

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Main Results:

  • Campania's perinatal mortality rate was 17.6/1000 (8.3 stillbirths, 9.3 early neonatal deaths).
  • Excess deaths were attributed to high mortality across all birthweight categories, especially normal birthweight infants (>2500g).
  • Normal birthweight infants, comprising 94% of births, accounted for 45.4% of perinatal deaths, a deviation from developed country trends.

Conclusions:

  • The high perinatal mortality in Campania is not due to unfavorable birthweight distribution but elevated mortality rates in all categories.
  • A significant proportion of perinatal deaths involved normal birthweight infants, suggesting issues beyond typical risk factors.
  • Analysis indicates a high prevalence of preventable causes, emphasizing the need for improved antenatal and perinatal care.