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[Potentially avoidable perinatal deaths in Denmark and Sweden 1991]

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

¹Gynaekologisk/obstetrisk afdeling, H:S Hvidovre Hospital.

Ugeskrift for Laeger

|September 26, 1997

Summary

Denmark experienced higher perinatal mortality rates than Sweden in 1991. An audit revealed significantly higher rates of malformed infant deaths and intrapartum deaths in Denmark, suggesting potential care quality differences.

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Area of Science:

Perinatal Health
Healthcare Quality Assessment
International Comparative Studies

Background:

In 1991, Denmark's perinatal mortality rate (8.0/1000) exceeded Sweden's (6.5/1000).
Differences in perinatal death rates may indicate variations in healthcare quality.

Purpose of the Study:

To investigate if disparities in perinatal death rates between Denmark and Sweden reflect differences in healthcare quality.
To identify specific areas within perinatal care that may require improvement in Denmark.

Main Methods:

An international audit analyzed medical records of 97% of perinatal deaths in Denmark and Sweden in 1991.
A novel classification system for potential avoidability was developed, considering factors like malformation, gestational age, and Apgar scores.

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Main Results:

Denmark had significantly higher rates of perinatal deaths in malformed infants (0.00195 vs. 0.00145).
Denmark also showed significantly higher intrapartum death rates for non-malformed infants (0.00042 vs. 0.00019).

Conclusions:

The study highlights a higher burden of perinatal mortality among malformed infants in Denmark compared to Sweden.
Findings suggest a need to explore potential improvements in intrapartum care in Denmark to reduce preventable deaths.