Infant mortality in a region of Finland with about 450000 people and 5400 annual births was examined during a 15-year period, 1968–1982. Total infant mortality declined from 15.8 per 1000 live births in 1968 to 5.0 in 1982. The lowering of neonatal mortality accounted for the decline, as postneonatal mortality remained at the same level throughout the study period. Despite a decrease of nearly 80%, perinatal disorders remained the leading category of primary causes of death. Mortality from congenital malformations decreased by 50%, mortality from sudden infant death syndrome increased from 0.2 to 0.9 per 1000 live births while mortality from accidents, infectious diseases and other diseases remained minor causes of death with no change in frequency. In the low birth weight category, postponement of deaths from early to late neonatal and postneonatal periods occurred, but total infant mortality in the low birth weight category declined by about 60%. During the last two 3-year periods, decrease in birth weight-specific infant mortality was found in the 500–999 g and >2500 g categories. The reasonably high standard of living, good educational level of mothers, well organized primary maternal and child health services and the rapid advances in obstetric and neonatal care equally available and regionalized, have contributed to the favourable progress in infant mortality in Finland.
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University central hospital of Turku
Sudden infant death syndrome
Arneil GC, Brooke H, Gibson AAM, Harvie A, McIntosh H, Patrick WJA (1985) National post-perinatal infant mortality and cot death study, Scotland 1981–82. Lancet i:740–743
Ekblad H, Kero P, Korvenranta H, Erkkola R, Välimäki I (1985) Colloid osmotic pressure of umbilical cord plasma in healthy and sick newborn infants. Pediatrics 75:764–769
Ekblad H, Kero P, Takala J (1985) Slow sodium acetate infusion in the correction of metabolic acidosis in premature infants. Am J Dis Child 139:708–710
Ericson JD, Bjerkedal T (1982) Fetal and infant mortality in Norway and the United States. JAMA 247:987–991
Goldenberg RL, Humphrey JL, Hale CB, Boyd BW, Wayne JB (1983) Neonatal deaths in Alabama, 1970–1980: an analysis of brith weight — and race specific neonatal mortality rates. Am J Obstet Gynecol 145:545–552
Hallman M, Merritt TA, Schneider H, Epstein BL, Mannino F, Edwards DK, Gluck L (1983) Isolation of human surfactant from amniotic fluid and a pilot study of its efficacy in respiratory distress syndrome. Pediatrics 71:473–482
Health Services 1982 (1984) Yearbook of National Board of Health in Finland 1981–1982. SVT XI:78. Helsinki, Valtion Painatuskeskus
Hellman J, Vannucci RC (1982) Intraventricular hemorrhage in premature infants. Semin Perinatol 6:42–53
Kero P (1974) Heart rate variation in infants with respiratory distress syndrome. Acta Pediatr Scand 250 [Suppl]: 1–70
Kero P, Mäkinen EO (1979) Comparison between clinical and radiological classification of the respiratory distress syndrome. Eur J Pediatr 130:271–278
Kleinman JC, Kovar MG, Feldman JJ, Young CA (1978) A comparison of 1960 and 1973–1974 early neonatal mortality in selected states. Am J Epidemiol 108:454–469
Korvenranta H, Kero P (1983) Intraesophageal pressure monitoring in infants with respiratory disorders. Crit Care Med 11:276–279
Korvenranta H, Viljanto J, Kero P (1983) Two successful thoracotomies, in an infant of very low birth weight. Z Kinderchir 38:336–337
Kraus JF, Borhani NO (1972) Post-neonatal sudden unexplained death in California — a cohort study. Am J Hyg 95:497–502
Lee KS, Paneth N, Gartner LM, Pearlman M (1980) The very low-birth-weight rate: principal predictor of neonatal mortality in industrialized populations. J Pediatr 97:759–764
McCormick MC, Shapiro S, Starfield B (1984) High-risk young mothers: infant mortality and morbidity in four areas in the United States, 1973–1978. Am J Public Health 74:18–23
Murphy JF, Newcombe RG, Sibert JR (1982) The epidemiology of sudden infant death syndrome. J Epidemiol Community Health 36:17–21
Peltonen T, Hirvonen L (1965) Experimental studies on fetal and neonatal circulation. Acta Pediatr Scand 161: [Suppl] 1–55
Piekkala P, Erkkola R, Kero P, Tenovuo A, Sillanpää M (1985) Declining perinatal mortality in a region in Finland 1968–1982. Am J Public Health 75:156–160
Saugstad LF (1981) Weight of all births and infant mortality. J Epidemiol Community Health 35:185–191
Urponen H, Peltonen R (1979) Past trends and present level of infant mortality in Finland. Courrier 29:7–11
Välimäki IAT, Korvenranta H, Kero PO (1984) Monitoring of an infant with RDS. In: Raivio KO, Hallman N, Kouvalainen K, Välimäki I (eds) Respiratory Distress Syndrome, Academic Press, London, pp. 227–240
Wallace HM, Goldstein H, Ericson A (1982) Comparison of infant mortality in the United States and Sweden. Clin Pediatr 21:156–162
Wegman M (1984) Annual summary of vital statistics — 1983. Pediatrics 74:981–990
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Piekkala, P., Kero, P., Tenovuo, A. et al. Infant mortality in a region of Finland, 1968–1982. Eur J Pediatr 145, 467–470 (1986). https://doi.org/10.1007/BF02429044
- Infant mortality
- Neonatal mortality
- Postneonatal mortality