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.
Study Type
OBSERVATIONAL
Enrollment
468
CorporacionPT
Sabadell, Barcelona, Spain
RECRUITINGInternational Classification of Disease (10th Revision)- Perinatal Mortalitymaternal condition group
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
Time frame: through study completion, an average of 1 year
International Classification of Disease (10th Revision)- Perinatal Mortality cause of death
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
Time frame: through study completion, an average of 1 year
Obstetric history
number of pregnancies, number of total live births, number of deceased babies, number of stillbirths, number of neonatal deaths, number of abortions
Time frame: through study completion, an average of 1 year
Mother's age
age
Time frame: through study completion, an average of 1 year
Type of pregnancy
singleton, twins
Time frame: through study completion, an average of 1 year
Antenatal care number of visits
number
Time frame: through study completion, an average of 1 year
Malaria profilaxis
yes, no
Time frame: through study completion, an average of 1 year
HIV status
positive, negative
Time frame: through study completion, an average of 1 year
Syphilis test
positive, negative
Time frame: through study completion, an average of 1 year
Mother's LMP
date of the last menstrual period
Time frame: through study completion, an average of 1 year
Date of birth
date
Time frame: through study completion, an average of 1 year
Gestational age
weeks
Time frame: through study completion, an average of 1 year
Place of delivery
facility, home, road, others
Time frame: through study completion, an average of 1 year
Onset of labour
spontaneous, induced, cesarean before onset
Time frame: through study completion, an average of 1 year
Fetal heart sounds on admission
yes, no
Time frame: through study completion, an average of 1 year
Partograph used
yes, no
Time frame: through study completion, an average of 1 year
Mode of delivery
vaginal, vaginal assisted, cesarean
Time frame: through study completion, an average of 1 year
Time between decision for action and birth
not applicable, \< 30 min, 30 - 60 min, \> 60 min
Time frame: through study completion, an average of 1 year
Apgar Score
Apgar Score (min 0, max 10). Higher scores means better outcome
Time frame: through study completion, an average of 1 year
Resuscitation
not necessary, suction, stimulation, ventilation, cardiac compressions, not done
Time frame: through study completion, an average of 1 year
Sex of baby
male, female, unknown
Time frame: through study completion, an average of 1 year
Birth weight
grams
Time frame: through study completion, an average of 1 year
Date of death
Date
Time frame: through study completion, an average of 1 year
Type of death
neonatal, intrapartum or antepartum or unknown timing stillbirth
Time frame: through study completion, an average of 1 year
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