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Potentially avoidable perinatal deaths in Denmark and Sweden 1991

J Langhoff-Roos1, H Borch-Christensen, S Larsen

  • 1University of Copenhagen, Hvidovre Hospital, Denmark.

Acta Obstetricia Et Gynecologica Scandinavica
|October 1, 1996
PubMed
Summary

Denmark experienced higher perinatal mortality rates than Sweden in 1991. This international audit suggests potential differences in care quality, particularly for malformed infants and intrapartum deaths, warranting further investigation.

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Area of Science:

  • Perinatal Health
  • Public Health Policy
  • Comparative Healthcare Analysis

Background:

  • Denmark has historically reported higher perinatal mortality rates compared to Sweden.
  • In 1991, Denmark's rate was 8.0/1000, while Sweden's was 6.5/1000.
  • An international audit aimed to assess if care quality differences contributed to these disparities.

Purpose of the Study:

  • To investigate potential differences in perinatal death rates between Denmark and Sweden.
  • To evaluate if variations in the quality of healthcare services, specifically avoidable deaths, explain the mortality gap.
  • To apply a newly developed classification system for perinatal deaths.

Main Methods:

  • Analysis of medical records for 97% of all perinatal deaths in Denmark and Sweden in 1991.

Related Experiment Videos

  • Utilized a novel Nordic-Baltic Perinatal Death Classification system.
  • Key variables included timing of death, fetal malformations, gestational age, growth retardation, and Apgar scores.

    • Main Results:

    • Significantly higher rates of perinatal deaths among malformed infants in Denmark (0.00195) compared to Sweden (0.00145).
    • Intrapartum deaths of non-malformed infants were also significantly higher in Denmark (0.00042) versus Sweden (0.00019).

    Conclusions:

    • The Nordic-Baltic Perinatal Death Classification highlights disparities in perinatal mortality between Denmark and Sweden.
    • Further investigation is needed to understand the higher rate of deaths among malformed infants in Denmark.
    • There is a potential for improvement in intrapartum care within the Danish healthcare system.