[Pathological analysis of the quality of clinical diagnosis of perinatal diseases]

The features of the method of pathoanatomic analysis of the quality of clinical diagnosis of perinatal diseases based on the nosological principle are discussed. Additional new categories of assessment have been introduced: (1) "the disease is not diagnosed at all", and (2) "the disease of the fetus (baby) is diagnosed correctly but its cause is not stated". Underestimation of the examination of the placenta is considered to be a negative feature. Examples are presented of various categories of the estimation of accuracy of clinical diagnosis, principles of divergence of the clinical and anatomical diagnosis, combined main perinatal disease. With a sufficiently large number of autopsies, the author recommends to carry out pathoanatomical analysis of the quality of the clinical diagnosis of perinatal disease separately by perinatal periods of death, groups of prematurely born and born in time, stillborns and dying newborns, and by groups of diseases typical for the perinatal period (congenital malformations, asphyxia and pneumopathies, birth trauma, infections, disease due to immune conflicts, others).