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Perinatal death recording: time for a change?

M J Scott, J W Ritchie, B G McClure

    British Medical Journal (Clinical Research Ed.)
    |February 28, 1981
    PubMed
    Summary

    The World Health Organization's new perinatal death certificate may improve cause of death reporting but doesn't fully address existing underestimation issues in perinatal death statistics.

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    Neonatology·2018

    Area of Science:

    • Perinatal Health
    • Public Health Surveillance
    • Vital Statistics

    Background:

    • Existing perinatal death statistics may underestimate true numbers by approximately 10%.
    • Definitions of live birth and stillbirth have historically introduced uncertainty into perinatal mortality data.
    • The World Health Organization (WHO) proposed a new perinatal death certificate to improve data collection.

    Purpose of the Study:

    • To evaluate the WHO's proposed perinatal death certificate against current methods.
    • To assess the impact of the new certificate on perinatal death statistics and information gathering.
    • To identify areas for improvement in perinatal mortality data recording and analysis.

    Main Methods:

    • Comparative analysis of the proposed WHO certificate with existing perinatal death recording procedures.
    • Examination of information duplication and gaps in the WHO certificate compared to birth notifications.
    • Assessment of the proposed cause-of-death format.

    Main Results:

    • The WHO certificate may offer a more logical cause-of-death presentation.
    • Using minimum birth weight criteria reduces definitional uncertainty for live birth and stillbirth.
    • The proposed certificate duplicates some birth notification data and omits other relevant factors.

    Conclusions:

    • Implementing the WHO certificate alone may not fully resolve underestimation in perinatal death statistics.
    • Standardizing infant birth information, refining death certificates, and improving record-linkage are crucial.
    • Timely changes in data systems are needed for accurate interpretation of perinatal mortality characteristics.

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