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The high-risk perinatal registry. A systematic approach for reducing perinatal mortality
Obstetrics and Gynecology
|September 1, 1977
Summary
Approximately one-quarter of 320 perinatal deaths in 1973 were preventable. Improved application of existing medical knowledge and perinatal mortality reviews could reduce these preventable infant and fetal deaths.
Area of Science:
- Obstetrics and Gynecology
- Neonatalogy
- Public Health
Background:
- Perinatal mortality remains a significant public health concern.
- Timely and appropriate application of medical advancements is crucial for improving outcomes.
Purpose of the Study:
- To systematically review perinatal deaths in Nassau County in 1973.
- To determine the preventability of these deaths and identify associated risk factors.
Main Methods:
- Comprehensive review of 320 perinatal deaths from 1973.
- Assessment of each death for avoidable factors influencing mortality risk.
Main Results:
- One-quarter of all reviewed perinatal deaths were deemed preventable.
- Higher rates of preventability were observed in postmature, large-for-gestational-age, late neonatal, intrapartum fetal deaths, and deaths due to anoxia and idiopathic respiratory distress syndrome.
Conclusions:
- Rigorous application of current medical knowledge is essential.
- Establishment of local perinatal mortality review committees is recommended.
- Vigorous outreach to practitioners is needed to accelerate the adoption of new care modalities.