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The Scottish perinatal mortality survey.

G M McIlwaine, R C Howat, F Dunn

    British Medical Journal
    |November 3, 1979
    PubMed
    Summary
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    Perinatal deaths in Scotland (1977) were analyzed. Fetal abnormality and low birth weight in normally formed infants were primary causes, highlighting areas for improved infant mortality monitoring.

    Area of Science:

    • Perinatal Medicine
    • Public Health
    • Epidemiology

    Background:

    • Perinatal mortality remains a significant public health concern.
    • Understanding specific causes is crucial for developing targeted interventions.
    • Previous studies have identified various risk factors, but comprehensive analysis is needed.

    Purpose of the Study:

    • To investigate the causes of perinatal deaths in single births in Scotland in 1977.
    • To identify the leading contributors to perinatal mortality.
    • To inform strategies for reducing infant mortality rates.

    Main Methods:

    • Case-record analysis of 1012 single perinatal deaths in Scotland, 1977.
    • Classification of causes of death using an extended Aberdeen classification.

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  • Detailed examination of fetal abnormalities and infant birth weights.

    • Main Results:

    • Fetal abnormality accounted for 265 deaths, with central nervous system malformations in 140 cases.
    • Low birth weight in normally formed infants (mothers without complications) was the largest cause (302 cases), with 34% exhibiting growth retardation.
    • Rhesus incompatibility and maternal diabetes were minor contributors to perinatal loss.

    Conclusions:

    • Fetal abnormality and low birth weight are key drivers of perinatal mortality.
    • The findings underscore the need for continued monitoring and potential interventions for growth-retarded infants.
    • A modified study is ongoing to assess the feasibility of regional audits for monitoring perinatal mortality trends.