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Perinatal database in Germany
P G Brockerhoff1, P G Knapstein
1Department of Obstetrics and Gynecology, Johannes Gutenberg-University of Mainz, Medical School, Germany.
Insights
A nationwide German database of over 600,000 annual deliveries improved understanding of perinatal risk factors. This led to a significant decline in perinatal mortality rates over a 10-year period.
Area of Science:
- Perinatal medicine
- Public health surveillance
- Reproductive epidemiology
Background:
- Established a nationwide database in Germany collecting standardized data from up to 600,000 deliveries annually.
- Enabled regional and overregional quality control for obstetric care.
- Facilitated scientific analysis of rare maternal and fetal complications.
Purpose of the Study:
- To analyze perinatal risk factors using a large-scale, standardized dataset.
- To monitor and improve the quality of obstetric care nationwide.
- To investigate trends in maternal and fetal complications.
Main Methods:
- Collection of standardized data from approximately 600,000 deliveries per year.
- Longitudinal observation period of 10 years.
- Statistical analysis of collected data to identify risk factors and outcomes.
Main Results:
- Considerable improvement in the understanding of perinatal risk factors over the 10-year observation period.
- Significant decline in perinatal mortality from 9.4 to 6.4 per 1,000 deliveries.
- Presentation of typical results derived from extensive data analysis.
Conclusions:
- Nationwide data collection is effective for quality control and scientific research in obstetrics.
- Improved understanding of risk factors has contributed to reduced perinatal mortality.
- The established database serves as a valuable resource for ongoing perinatal health research.
Abstract:
By collecting standardized data from up to 600,000 deliveries per year in Germany a nation-wide database has been established in recent years enabling not only regional and overregional quality control, but also the scientific analysis of rare maternal and fetal complication. During the observation period of 10 years the understanding of perinatal risk factors has considerably improved and the perinatal mortality has declined from 9.4 to 6.4 (per 1,000 deliveries). From the huge amount of calculations typical results are presented.