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Epidemiology of Fetal and Neonatal Death

  • Chapter
Fetal and Neonatal Pathology

Abstract

The study of perinatal mortality rates has become increasingly popular. The results are quoted variously by politicians, sociologists and clinicians according to the point which they wish to make. Government spokesmen quote a fall in the perinatal mortality rate as vindication of their policies. Politicians in opposition and clinicians quote high national rates in comparison with selected other countries and claim that the government is not spending enough on maternity or neonatal services. Sociologists point to the differential mortality between advantaged and disadvantaged social groups and claim that better housing, or increased minimum wages, or decreased levels of unemployment would result in an improvement in perinatal mortality rates.

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References

  • Alley J, Terry J (1979) Under-reporting of neonatal deaths—Georgia 1974–77. CDC Morbidity and Mortality Weekly Report 28: 253–254

    Google Scholar 

  • Ashley D, McCaw-Binns A, Foster-Williams K (1988) The perinatal morbidity and mortality survey of Jamaica. Paediatr Perinat Epidemiol 2: 138–147

    Article  PubMed  CAS  Google Scholar 

  • Ashley D, Golding J, Keeling J (1993) Perinatal mortality in Jamaica. University of the West Indies Press

    Google Scholar 

  • Autio-Harmainen H, Rapola J, Hoppu K, Osterlund K (1983) Causes of death in a paediatric hospital neonatal unit. Acta Paediatr Scand 72: 333–337

    Article  PubMed  CAS  Google Scholar 

  • Baird D (1980) Mortality equiries: discussion. In: Chalmers I, Mcllwaine G (eds) Perinatal audit and surveillance. Royal College of Obstetricians and Gynaecologists, London, p 164

    Google Scholar 

  • Baird D, Thomson AM (1969) The effects of obstetric and environmental factors on perinatal mortality by clinico-pathological causes. In: Butler NR, Alberman ED (eds) Perinatal problems. Livingstone, Edinburgh, pp 211–226

    Google Scholar 

  • Baird D, Walker J, Thomson AM (1954) The causes and prevention of stillbirths and first week deaths. Part III. A classification of deaths by clinical cause. J Obstet Gynaecol Br Emp 61: 433–448

    Article  PubMed  CAS  Google Scholar 

  • Bakketeig LS, Hoffman HJ, Oakley ART (1984) Perinatal mortality. In: Bracken MB (ed) Perinatal epidemiology. Oxford University Press, New York, pp 99–151

    Google Scholar 

  • Barros FC, Victoria CG, Vaughan JP, Estanislau HJ (1987) Perinatal mortality in southern Brazil: a population-based study of 7392 births. Bull WHO 65: 95–104

    PubMed  CAS  Google Scholar 

  • Barson AJ, Tasker M, Lieberman BA, Hillier VF (1984) Impact of improved perinatal care on the causes of death. Arch Dis Child 59: 199–207

    Article  PubMed  CAS  Google Scholar 

  • Butler NR, Alberman ED (1969) Perinatal problems: the second report of the British National Perinatal Mortality Survey. Livingstone, Edinburgh

    Google Scholar 

  • Butler NR, Bonham DG (1963) Perinatal mortality: the first report of the 1958 British Perinatal Mortality Survey. Livingstone, Edinburgh

    Google Scholar 

  • Cahalane SF, Kennedy JD, McNicholl B, O’Dwyer E (1965) Perinatal mortality survey for County Galway, 18 months, October 1958 through March 1960. J Ir Med Assoc 57: 135–141

    PubMed  CAS  Google Scholar 

  • Chalmers I (1985) Enquiry into perinatal death. Br J Obstet Gynaecol 92: 545–549

    Article  PubMed  CAS  Google Scholar 

  • Chamberlain R, Chamberlain G, Howlett Claireaux A (1975) British births 1970, volume I. Heinemann Medical, London

    Google Scholar 

  • Claireaux AE (1962) Perinated mortality in the United Kingdom. In: Keller RJ (ed) Modern trends in obstetrics 3. Butterworths, London, pp 191–211

    Google Scholar 

  • Clarke CA, Mollison PL, Whitfield AGW (1985) Deaths from Rhesus haemolytic disease in England and Wales in 1982 and 1983. Br Med J 291: 17–19

    Article  CAS  Google Scholar 

  • Cole SK, Hey EN, Thomson AM (1986) Classifying perinatal death: an obstetric approach. Br J Obstet Gynaecol 93: 1204–1212

    Article  PubMed  CAS  Google Scholar 

  • Doornbos JPR, Nordbeck HJ (1985) Perinatal mortality. Obstetric factors in a community of mixed ethnic origin in Amsterdam. ICG Printing, Dordrecht

    Google Scholar 

  • Duley LMM (1986) A validation of underlying cause of death, as recorded by clinicians on stillbirth and neonatal death certificates. Br J Obstet Gynaecol 93: 1223–1235

    Google Scholar 

  • Edouard L (1982) Validation of the registered underlying causes of stillbirth. J Epidemiol Community Health 36: 231–234

    Article  PubMed  CAS  Google Scholar 

  • Elbourne D, Mutch L (1984) Do locally-based enquiries into perinatal mortality reduce the risk of perinatal death? In: Smith A (ed) Recent advances in community medicine, vol 3. Churchill-Livingstone, London, pp 221–229

    Google Scholar 

  • Fedrick J, Adelstein P (1973) The influence of pregnancy spacing on outcome of pregnancy. Br Med J 4: 753–756

    Article  PubMed  CAS  Google Scholar 

  • Fedrick J, Adelstein P (1977) Preceding pregnancy loss as an index of risk of stillbirth or neonatal death in the present pregnancy. Biol Neonate 31: 84–93

    Article  PubMed  CAS  Google Scholar 

  • Fedrick J, Butler NR (1970a) Certain causes of neonatal death: I Hyaline membranes. Biol Neonate 15: 229–255

    Article  PubMed  CAS  Google Scholar 

  • Fedrick J, Butler NR (1970b) Certain causes of neonatal death: II Intraventricular haemorrhage. Biol Neonate 15: 257–290

    Article  PubMed  CAS  Google Scholar 

  • Fedrick J, Butler NR (1971a) Certain causes of neonatal death: III Pulmonary infection (a) Clinical factors. Biol Neonate 17: 458–471

    Article  PubMed  CAS  Google Scholar 

  • Fedrick J, Butler NR (1971b) Certain causes of neonatal death: III Pulmonary infection (b) Pregnancy and delivery. Biol Neonate 18: 45–57

    Article  PubMed  CAS  Google Scholar 

  • Fedrick J, Butler NR (1971c) Certain causes of neonatal death: IV Massive pulmonary haemorrhage. Biol Neonate 18: 243–262

    Article  PubMed  CAS  Google Scholar 

  • Fedrick J, Butler NR (1971d) Certain causes of neonatal death: V Cerebral birth trauma. Biol Neonate 18: 321–329

    Article  PubMed  CAS  Google Scholar 

  • Fedrick J, Butler NR (1972) Accuracy of registered causes of neonatal deaths. Br J Prev Soc Med 26: 101–105

    PubMed  CAS  Google Scholar 

  • Fedrick J, Butler NR (1978) Intended place of delivery and perinatal outcome. Br Med J i: 763–765

    Article  Google Scholar 

  • FIGO Standing Committee on Perinatal Mortality and Morbidity (1982) Report of the Committee following a workshop on Monitoring and Reporting Perinatal Mortality and Morbidity. Chameleon, London

    Google Scholar 

  • Gillies DRN, Lealman GT, Lumb KM, Congdon P (1984) Analysis of ethnic influence on stillbirths and infant mortality in Bradford 1975–81. J Epidemiol Community Health 38: 214–217

    Article  PubMed  CAS  Google Scholar 

  • Golding J (1990a) The epidemiology of perinatal death. In: Kiely M (ed) Reproductive and perinatal epidemiology. CRC Press, Boston, pp 401–436

    Google Scholar 

  • Golding J (1990b) Maternal age and parity. In: Golding J (ed) Social and biological effects on perinatal mortality, vol III. Perinatal analyses. University of Bristol, Bristol, pp 183–218

    Google Scholar 

  • Golding J (1990c) Other factors related to perinatal mortality statistics. In: Golding J (ed) Social and biological effects on perinatal mortality, vol III. Perinatal analyses. University of Bristol, Bristol, pp 299–332

    Google Scholar 

  • Golding J (1990d) The outcome of twin pregnancy. In: Golding J (ed) Social and biological effects on perinatal mortality, vol. III Perinatal analyses. University of Bristol, Bristol, pp 67–104

    Google Scholar 

  • Golding J, Peters TJ (1988) Are hospital confinements really more dangerous for the fetus? Early Hum Dev 17: 29–36

    Article  PubMed  CAS  Google Scholar 

  • Golding J, Sunderland R (1990) Month and day of delivery. In: Golding J (ed) The third report of the WHO study of social and biological effects on perinatal mortality. University of Bristol, Bristol

    Google Scholar 

  • Golding J, Henriques J, Thomas P (1986) Unmarried at delivery. II Perinatal morbidity and mortality. Early Hum Dev 14: 217–228

    Article  PubMed  CAS  Google Scholar 

  • Golding J et al. (1992) Factors associated with antepartum fetal death in two continents (in preparation)

    Google Scholar 

  • Goldstein H, Butler NR (1977) Definition of perinatal mortality. Lancet I: 1254

    Article  Google Scholar 

  • Greb AE, Pauli RM, Kirby RS (1987) Accuracy of fetal death reports: comparison with data from an independent stillbirth assessment program. Am J Public Health 77: 1202–1206

    Article  PubMed  CAS  Google Scholar 

  • Hey EN, Lloyd DJ, Wigglesworth JS (1986) Classifying perinatal death: fetal and neonatal factors. Br J Obstet Gynaecol 93: 1213–1223

    Article  PubMed  CAS  Google Scholar 

  • Hobbs MST, Acheson ED (1966) Obstetric care in the first pregnancy. Lancet i: 761–764

    Article  Google Scholar 

  • Hovatta O, Lipasti A, Rapola J, Karjalainen (1983) Causes of stillbirth: a clinicopathological study of 243 patients. Br J Obstet Gynaecol 90: 691–696

    Article  PubMed  CAS  Google Scholar 

  • Huisjes HJ, Touwen BCL, Van Doorm JM (1979) Perinatal mortality and late sequelae in children born after abruptio placentae. Eur J Obstet Gynaecol Reprod Biol 9: 45–49

    Article  CAS  Google Scholar 

  • James WH (1974) Parental age differences. J Biosoc Sci 6: 93–106

    PubMed  CAS  Google Scholar 

  • Kamimura (1976) Epidemiology of twin births from a climatic point of view. Br J Prev Soc Med 30: 175–179

    PubMed  CAS  Google Scholar 

  • Karlberg P, Golding J, Bolander A-M (1990) Sex differences. In: Golding J (ed) The third report of the WHO study of social and biological effects on perinatal mortality. University of Bristol, Bristol

    Google Scholar 

  • Keeling JW, MacGillivray I, Golding J, Wigglesworth J, Berry J, Dunn PM (1989) Classification of perinatal death. Arch Dis Child 64: 1345–1351

    Article  PubMed  CAS  Google Scholar 

  • Keirse MJNC (1984) Perinatal mortality rates do contain what they purport to contain. Lancet i: 1166–1169

    Article  Google Scholar 

  • Kline J, Shrout P, Stein Z, Susser M, Warburton D (1980) Drinking during pregnancy and spontaneous abortion. Lancet ii: 176–180

    Article  Google Scholar 

  • Laukaran VH, van den Berg BJ (1980) The relationship of maternal attitude to pregnancy outcomes and obstetric complications: a cohort study of unwanted pregnancy. Am J Obstet Gynecol 136: 374–379

    PubMed  CAS  Google Scholar 

  • Lumley J, Bakoula C (1992) Perinatal mortality in Greece and to Greek-born women in Australia. What does a “natural experience” suggest? Europ J Obstet Gynaecol Reprod Biol (in press)

    Google Scholar 

  • Macfarlane A, Mugford M (1984) Birth counts: statistics of pregnancy and childbirth. HMSO, London

    Google Scholar 

  • Machin GA (1975) A perinatal mortality survey in South East London 1970–73: the pathological findings in 726 necropsies. J Clin Pathol 28: 428–434

    Article  PubMed  CAS  Google Scholar 

  • McCarthy BJ, Terry J, Rochat RW, Quave S, Tyler CW Jr (1980) The underregistration of neonatal deaths: Georgia 1974-77. Am J Public Health 70: 977–982

    Article  PubMed  CAS  Google Scholar 

  • McCaw-Binns A (1991) Does antenatal care make a difference? An examination of antenatal care in Jamaica and its impact on pregnancy outcome. PhD thesis, University of Bristol, Bristol

    Google Scholar 

  • Mcllwaine G, Howat RCL, Dunn F, MacNaughton MC (1979) The Scottish Perinatal Mortality Survey. Br Med J 2: 1103–1106

    Article  Google Scholar 

  • Meyer MB (1977) Definition of perinatal mortality. Lancet ii: 246–247

    Article  Google Scholar 

  • Mora JO, Clement J, Christiansen N, Suescun J, Wagner M, Herrera MG (1987) Nutritional supplementiation and outcome of pregnancy, III. Perinatal and neonatal mortality. Nutr Rep Int 18: 167

    Google Scholar 

  • Mutch LMM, Brown NJ, Speidel BD, Dunn PM (1981) Perinatal mortality and neonatal survival in Avon. Br Med J 282: 119–122

    Article  CAS  Google Scholar 

  • Naeye RL (1977) Causes of perinatal mortality in the US Collaborative Perinatal Project. JAMA 238: 228–229

    Article  PubMed  CAS  Google Scholar 

  • Naeye RL (1978) Placenta praevia: predisposing factors and effects on the fetus and surviving infants. Obstet Gynecol 52: 521–525

    PubMed  CAS  Google Scholar 

  • Naeye RL (1979a) Causes of fetal and neonatal mortality by race in a selected US population. Am J Public Health 69: 857–861

    Article  PubMed  CAS  Google Scholar 

  • Naeye RL (1979b) Weight gain and the outcome of pregnancy. Am J Obstet Gynecol 135: 3–9

    PubMed  CAS  Google Scholar 

  • Naeye RL, Tafari N (1983) Risk factors in pregnancy and diseases of the fetus and newborn. Williams and Wilkins, Baltimore

    Google Scholar 

  • Naeye RL, Harkness WL, Utts J (1977) Abruptio placentae and perinatal death: a prospective study. Am J Obstet Gynecol 128: 740–746

    PubMed  CAS  Google Scholar 

  • Newton RW, Webster PAC, Binu PS, Maskrey N, Phillips AB (1979) Psychosocial stress in pregnancy and its relation to the onset of premature labour. Br Med J ii: 411–413

    Article  Google Scholar 

  • Northern Regional Health Authority Coordinating Group (1984) Perinatal mortality: a continuing collaborative regional survey. Br Med J 288: 1717–1720

    Article  Google Scholar 

  • Pharoah POD, Alberman ED (1988) Annual statistical review. Arch Dis Child 63: 1511–1515

    Article  PubMed  CAS  Google Scholar 

  • Rahman M, Mujibur Rahaman M, Wojtyniak B, Aziz KMS (1985) Impact of environmental sanitation and crowding on infant mortality in rural Bangladesh. Lancet ii: 28–31

    Article  Google Scholar 

  • Record RG, McKeown T (1956) Investigation of foetal mortality associated with placenta praevia. Br J Prev Soc Med 10: 25–31

    PubMed  CAS  Google Scholar 

  • Rojas Ochoa, FR (1981) Investigacion perinatal by Instituto de Desarrollo de 1a Salud. Editorial Cientifico-Tecnica, La Habana, Cuba

    Google Scholar 

  • Ross SM, MacPherson TA, Naeye RL, Khatree MHD, Wallace JA (1982) Causes of fetal and neonatal mortality in a South African black community. S Afr Med J 12: 905–908

    Google Scholar 

  • Rush D (1986) Nutrition in preparation for pregnancy. In: Pregnancy care: a manual for practice. Chamberlain G, Lumley J (eds). Wiley, London 113–139

    Google Scholar 

  • Rush D, Alvir JM, Kenny DA, Johnson SS, Horvitz DG (1988) Historical study of pregnancy outcomes. Am J Clin Nutr 48: 412–428

    PubMed  CAS  Google Scholar 

  • Samms-Vaughan ME, Golding J (1992) Area variation in perinatal mortality in Jamaica: Association with type of hospital services available. In: Perinatal problems of islands in relation to the prevention of handicap. INSERM, Paris, pp 90–98

    Google Scholar 

  • Scott MJ, Ritchie JW, McClure BG, Reid MM, Halliday HL (1981) Perinatal death recording: time for a change? Br Med J 282: 707–710

    Article  CAS  Google Scholar 

  • Skjaervan R, Irgens LM (1988) Perinatal mortality and mother’s marital status at birth in subsequent siblings. Early Hum Dev 18: 199–212

    Article  Google Scholar 

  • Smits F (1981) De doeltreffendheid van het selectiessysteem binnen de verloskundige zorg. MD Thesis, Nijmegen, p 66

    Google Scholar 

  • Stevenson AC, Johnston HA, Stewart MIP, Golding DR (1966) Congenital malformations: a report of a study of a series of consecutive births in 24 centres. Bull WHO vol 34 (supplement)

    Google Scholar 

  • Tew M (1978) The case against hospital deliveries: the statistical evidence. In: Kitzinger S, Davies JA (eds) The place of birth. Oxford University Press, Oxford, pp 55–65

    Google Scholar 

  • Tew M (1980) Facts not assertions of belief. Health Soc Serv J LXXXX(4710): 1194–1197

    Google Scholar 

  • Tew M (1985) Place of birth and perinatal mortality. J Coll Gen Pract 35: 390–394

    CAS  Google Scholar 

  • Tew M (1990) Safer childbirth? A critical history of maternity care. Chapman and Hall, London

    Google Scholar 

  • Thomas J, Edwards J, Bowen-Simpkins P et al. (1985) Use of refined perinatal mortality rate trends to evaluate the effect of a confidential enquiry. Lancet II: 197–199

    Article  Google Scholar 

  • Tzoumaka-Bakoula C (1987) The Greek national perinatal survey: I: Design, methodology, case ascertainment. Paediatr Perinat Epidemiol 1: 43–55

    Article  PubMed  CAS  Google Scholar 

  • Tzoumaka-Bakoula C (1990) Assessment of the incidence of perinatal deaths in Greece using two separate sources. In: Golding J (ed) The third report of the WHO study of social and biological effects on perinatal mortality. University of Bristol, Bristol, pp 389–390

    Google Scholar 

  • Tzoumaka-Bakoula C, Lekea-Karanika V, Matsaniotis NS, Golding J (1989) The Greek national perinatal survey. II: Socioeconomic factors and perinatal mortality in Greece. Paediatr Perinat Epidemiol 3: 43–54

    Article  Google Scholar 

  • Valdes-Dapena MA, Arey JB (1970) The causes of neonatal mortality: an analysis of 501 autopsies on newborn infants. J Pediatr 77: 366–375

    Article  PubMed  CAS  Google Scholar 

  • Whitfield CR, Smith NC, Cockburn F, Gibson AAM (1986) Perinatally related wastage—a proposed classification of primary obstetric factors. Br J Obstet Gynaecol 93: 694–703

    PubMed  CAS  Google Scholar 

  • Wigglesworth J (1980) Monitoring perinatal mortality: a pathophysiological approach. Lancet ii: 684–686

    Article  Google Scholar 

  • World Health Organisation (1967) Manual of the international Statistical classification of diseases, injuries and causes of death, 8th rev, vol 1. WHO, Geneva

    Google Scholar 

  • World Health Organisation (1977) Manual of the international Statistical classification of diseases, injuries and causes of death, 9th rev, vol 1. WHO, Geneva

    Google Scholar 

  • Yerushalmy J, Palmer CE, Kramer M (1940) Age and parity as factors in puerperal fatality. Public Health Rep 55: 1195

    Article  Google Scholar 

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Authors
  1. Jean Golding
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Editors and Affiliations

  1. Department of Paediatric Pathology and Cytogenetics, Royal Hospital for Sick Children, Edinburgh, EH9 1LF, UK

    Jean W. Keeling MBBS, FRCPath, FRCP (Edin) (Consultant Paediatric Pathologist, Honorary Senior Lecturer in Pathology) (Consultant Paediatric Pathologist, Honorary Senior Lecturer in Pathology)

  2. University of Edinburgh, UK

    Jean W. Keeling MBBS, FRCPath, FRCP (Edin) (Consultant Paediatric Pathologist, Honorary Senior Lecturer in Pathology) (Consultant Paediatric Pathologist, Honorary Senior Lecturer in Pathology)

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© 1993 Springer-Verlag London

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Golding, J. (1993). Epidemiology of Fetal and Neonatal Death. In: Keeling, J.W. (eds) Fetal and Neonatal Pathology. Springer, London. https://doi.org/10.1007/978-1-4471-3802-0_6

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  • DOI: https://doi.org/10.1007/978-1-4471-3802-0_6

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  • Print ISBN: 978-1-4471-3804-4

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