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Under reporting of perinatal mortality.

G W Lawson1

  • 1Newcastle Western Suburbs Maternity Hospital, New South Wales.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|November 1, 1987
PubMed
Summary

Official certification of perinatal deaths in New South Wales (N.S.W.) maternity hospitals is slightly underreported. This underreporting, primarily due to definitional boundaries, marginally reduces the official perinatal mortality rate.

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Area of Science:

  • Perinatal mortality analysis
  • Public health surveillance
  • Medical certification accuracy

Background:

  • Accurate reporting of perinatal deaths is crucial for public health.
  • The official New South Wales (N.S.W.) definition distinguishes late abortions from stillbirths.
  • Previous studies have not fully assessed the completeness of perinatal death certification in N.S.W.

Purpose of the Study:

  • To analyze the completeness of official medical certification for perinatal deaths.
  • To identify any underreporting of perinatal deaths in N.S.W. maternity hospitals.
  • To assess the impact of underreporting on the official N.S.W. perinatal mortality rate.

Main Methods:

  • A retrospective analysis of perinatal deaths was conducted.
  • Data were collected from 5 maternity hospitals in the Hunter Valley region.
  • The study covered a 2-year period, examining 138 identified perinatal deaths.

Main Results:

  • 138 perinatal deaths were identified over the 2-year study period.
  • Only 131 of the identified deaths were registered with a medical certificate.
  • The 7 uncertified cases fell just outside the N.S.W. definition distinguishing late abortions from stillbirths.

Conclusions:

  • A small but significant degree of underreporting of perinatal deaths exists in N.S.W.
  • The discrepancy is linked to the precise definition used to classify late abortions versus stillbirths.
  • Official N.S.W. perinatal mortality rates are marginally reduced due to this underreporting.

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