ICD, Morbidity;Perinatal, Perinatal Morbidity, Stillbirth
Conditions
Keywords
perinatal mortality, ICD, Perinatal death, stillbirth, neonatal mortality, cause of death, risk factors
Brief summary
Background: Perinatal mortality ranges mortality from 22 gestational weeks up to the first 7 days of life and extended mortality goes up to 28 days of life. The perinatal mortality rate is the most sensitive index of the health status of women and their offspring and of the quality of maternal and child health services. Per our knowledge, there is no study that evaluates perinatal mortality in Catalonia, although household data are available from each hospital. Moreover, the official records usually do not match with the household surveys due to lack of clarity on the definitions. Aim: the aim of the study is to compare the WHO perinatal mortality classification following the ICD-PM in comparison with the used classification. Methodology: Multicentric retrospective study. Data from Sant Joan de Déu, Maternitat Clinic and Parc Taulí hospitals.
Interventions
None listed
Sponsors
Hospital Sant Joan de Deu
Hospital Clínic Sede Maternitat
Corporacion Parc Tauli
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
0 Days to 28 Days
Healthy volunteers
No
Inclusion criteria
* stillbirths more than 22 weeks of gestation * neonatal deaths up to 28 days of life
Exclusion criteria
\- avortions more than 22 weeks of gestation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| International Classification of Disease (10th Revision)- Perinatal Mortalitymaternal condition group | through study completion, an average of 1 year | The ICD-PM provides a standardised system for classifying perinatal mortality (including stillbirths) based on time of death (antepartum or intrapartum) into fetal and maternal causes thereby enabling comparisons within and between diverse settings and contexts |
| International Classification of Disease (10th Revision)- Perinatal Mortality cause of death | through study completion, an average of 1 year | The ICD-PM provides a standardised system for classifying perinatal mortality (including stillbirths) based on time of death (antepartum or intrapartum) into fetal and maternal causes thereby enabling comparisons within and between diverse settings and contexts |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gestational age | through study completion, an average of 1 year | weeks |
| Place of delivery | through study completion, an average of 1 year | facility, home, road, others |
| Onset of labour | through study completion, an average of 1 year | spontaneous, induced, cesarean before onset |
| Fetal heart sounds on admission | through study completion, an average of 1 year | yes, no |
| Partograph used | through study completion, an average of 1 year | yes, no |
| Obstetric history | through study completion, an average of 1 year | number of pregnancies, number of total live births, number of deceased babies, number of stillbirths, number of neonatal deaths, number of abortions |
| Mother's age | through study completion, an average of 1 year | age |
| Type of pregnancy | through study completion, an average of 1 year | singleton, twins |
| Antenatal care number of visits | through study completion, an average of 1 year | number |
| Malaria profilaxis | through study completion, an average of 1 year | yes, no |
| Mother's LMP | through study completion, an average of 1 year | date of the last menstrual period |
| Syphilis test | through study completion, an average of 1 year | positive, negative |
| Mode of delivery | through study completion, an average of 1 year | vaginal, vaginal assisted, cesarean |
| Time between decision for action and birth | through study completion, an average of 1 year | not applicable, \< 30 min, 30 - 60 min, \> 60 min |
| Apgar Score | through study completion, an average of 1 year | Apgar Score (min 0, max 10). Higher scores means better outcome |
| Resuscitation | through study completion, an average of 1 year | not necessary, suction, stimulation, ventilation, cardiac compressions, not done |
| Sex of baby | through study completion, an average of 1 year | male, female, unknown |
| Birth weight | through study completion, an average of 1 year | grams |
| Date of death | through study completion, an average of 1 year | Date |
| Type of death | through study completion, an average of 1 year | neonatal, intrapartum or antepartum or unknown timing stillbirth |
| HIV status | through study completion, an average of 1 year | positive, negative |
| Date of birth | through study completion, an average of 1 year | date |
Countries
Spain
Contacts
Primary ContactNuria Torre, MD
Outcome results
None listed