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[Experiences in studying multiple causes of perinatal mortality on the basis of a special "perinatal death
Insights
Reducing perinatal mortality requires understanding all contributing factors, not just immediate causes. This study details a method for investigating multiple causes of perinatal death for improved national statistics.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Medical Statistics
Context:
- Perinatal mortality presents a significant public health challenge.
- Effective reduction strategies necessitate a comprehensive understanding of all contributing factors.
- Existing methods may not fully capture the complexity of perinatal death causes.
Purpose:
- To detail the experience of investigating multiple causes of perinatal mortality.
- To introduce a specialized registration form (Perinatal Death Certificate, form 246-PS) used since 1974 in the USSR.
- To utilize the International Statistical Classification of Diseases, IX revision, for coding causes of death.
Summary:
- The study describes the application of a "Perinatal Death Certificate" for investigating multiple causes of perinatal mortality.
- Coding employed the International Statistical Classification of Diseases, IX revision.
- This approach allows for a more thorough analysis of maternal conditions, placental factors, and external influences on fetal demise.
Impact:
- Provides a framework for developing multiple cause-of-death analysis in national perinatal statistics.
- Offers insights for improving data collection and classification related to perinatal mortality.
- Contributes to the scientific basis for formulating effective perinatal mortality reduction measures.
Abstract:
The importance of the perinatal mortality requires a thorough study of its causes. The development of effective measures for reduction of perinatal mortality must be based on the knowledge of not only the immediate causes of death of the baby (fetus) but also of all the factors of diseases and conditions of the mother, conditions of the placenta, external causes exerting a marked damaging effect on the fetus. The paper describes the experience of investigating multiple causes of perinatal mortality on the basis of a special "Perinatal Death Certificate" (registration form 246-PS) introduced in the USSR in 1974, using for coding the International statistical classification of diseases, traumas, and death causes of the IX revision which will be used in this country since 1981. This experience permits to formulate suggestions for the development of multiple causes of perinatal death within the framework of the national statistics.