Perinatal deaths in a Norwegian county 1986–96 classified by the Nordic‐Baltic perinatal classification: Geographical contrasts as a basis for quality assessment
Background. Quality assessment of perinatal care can be carried out by classifying perinatal deaths. In the following we have analyzed the geographical contrasts in perinatal deaths according to the Nordic‐Baltic perinatal death classification in a sparsely populated Norwegian county. Material and m...
Published in: | Acta Obstetricia et Gynecologica Scandinavica |
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Online Access: | http://dx.doi.org/10.1034/j.1600-0412.2000.079002107.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1034%2Fj.1600-0412.2000.079002107.x https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1034/j.1600-0412.2000.079002107.x |
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crwiley:10.1034/j.1600-0412.2000.079002107.x 2024-06-02T08:10:51+00:00 Perinatal deaths in a Norwegian county 1986–96 classified by the Nordic‐Baltic perinatal classification: Geographical contrasts as a basis for quality assessment HOLT, JAN VOLD, INGAR NIKOLAI ODLAND, JON ØYVIND FØRDE, OLAV HELGE 2000 http://dx.doi.org/10.1034/j.1600-0412.2000.079002107.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1034%2Fj.1600-0412.2000.079002107.x https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1034/j.1600-0412.2000.079002107.x en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Acta Obstetricia et Gynecologica Scandinavica volume 79, issue 2, page 107-112 ISSN 0001-6349 1600-0412 journal-article 2000 crwiley https://doi.org/10.1034/j.1600-0412.2000.079002107.x 2024-05-03T10:49:56Z Background. Quality assessment of perinatal care can be carried out by classifying perinatal deaths. In the following we have analyzed the geographical contrasts in perinatal deaths according to the Nordic‐Baltic perinatal death classification in a sparsely populated Norwegian county. Material and methods. All stillbirths (≥28 weeks of gestation) and neonatal deaths (gestational age ≥22 weeks; death ≤28 days) in 1986–96 from Nordland county (240 000 inhabitants) were classified. For comparison the county was geographically divided into six general local hospital areas and one central hospital area. Results. The classification showed a well acceptable inter and intra observer variation. One hundred and seventy‐one stillbirths and 155 neonatal deaths were analyzed. The death rate (pr 1000 births) for single, non‐malformed, antenatal stillbirths was higher in the central hospital area than in the local hospital areas (3.22 vs . 2.02). The death rate for extreme preterm infants (22–27 weeks of gestation) was on the other hand higher in the local hospital areas (2.45 vs . 1.05). One of the general local hospital areas was singled out with an especially high neonatal death rate among extreme preterm infants. This was to some extent explained by the death of extreme preterm twins and triplets. Conclusion. The Nordic‐Baltic perinatal death classification system is a consistent and reproducible tool also for studying perinatal death in restricted geographical areas. The observed contrasts in perinatal deaths were used as basis for programs aimed at improving perinatal care. The observation of an unexplained increased number of antenatal stillbirths in the central hospital area resulted in a program for prospective recording and better characterization of the placenta and umbilical cord. Proposals for a better antenatal program preventing extreme preterm birth of twins for the whole county has been launched. In utero transfer to a hospital with a neonatal intensive care unit seems crucial in improving the prognosis for ... Article in Journal/Newspaper Nordland Nordland Nordland Wiley Online Library Triplets ENVELOPE(-59.750,-59.750,-62.383,-62.383) Acta Obstetricia et Gynecologica Scandinavica 79 2 107 112 |
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Open Polar |
collection |
Wiley Online Library |
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crwiley |
language |
English |
description |
Background. Quality assessment of perinatal care can be carried out by classifying perinatal deaths. In the following we have analyzed the geographical contrasts in perinatal deaths according to the Nordic‐Baltic perinatal death classification in a sparsely populated Norwegian county. Material and methods. All stillbirths (≥28 weeks of gestation) and neonatal deaths (gestational age ≥22 weeks; death ≤28 days) in 1986–96 from Nordland county (240 000 inhabitants) were classified. For comparison the county was geographically divided into six general local hospital areas and one central hospital area. Results. The classification showed a well acceptable inter and intra observer variation. One hundred and seventy‐one stillbirths and 155 neonatal deaths were analyzed. The death rate (pr 1000 births) for single, non‐malformed, antenatal stillbirths was higher in the central hospital area than in the local hospital areas (3.22 vs . 2.02). The death rate for extreme preterm infants (22–27 weeks of gestation) was on the other hand higher in the local hospital areas (2.45 vs . 1.05). One of the general local hospital areas was singled out with an especially high neonatal death rate among extreme preterm infants. This was to some extent explained by the death of extreme preterm twins and triplets. Conclusion. The Nordic‐Baltic perinatal death classification system is a consistent and reproducible tool also for studying perinatal death in restricted geographical areas. The observed contrasts in perinatal deaths were used as basis for programs aimed at improving perinatal care. The observation of an unexplained increased number of antenatal stillbirths in the central hospital area resulted in a program for prospective recording and better characterization of the placenta and umbilical cord. Proposals for a better antenatal program preventing extreme preterm birth of twins for the whole county has been launched. In utero transfer to a hospital with a neonatal intensive care unit seems crucial in improving the prognosis for ... |
format |
Article in Journal/Newspaper |
author |
HOLT, JAN VOLD, INGAR NIKOLAI ODLAND, JON ØYVIND FØRDE, OLAV HELGE |
spellingShingle |
HOLT, JAN VOLD, INGAR NIKOLAI ODLAND, JON ØYVIND FØRDE, OLAV HELGE Perinatal deaths in a Norwegian county 1986–96 classified by the Nordic‐Baltic perinatal classification: Geographical contrasts as a basis for quality assessment |
author_facet |
HOLT, JAN VOLD, INGAR NIKOLAI ODLAND, JON ØYVIND FØRDE, OLAV HELGE |
author_sort |
HOLT, JAN |
title |
Perinatal deaths in a Norwegian county 1986–96 classified by the Nordic‐Baltic perinatal classification: Geographical contrasts as a basis for quality assessment |
title_short |
Perinatal deaths in a Norwegian county 1986–96 classified by the Nordic‐Baltic perinatal classification: Geographical contrasts as a basis for quality assessment |
title_full |
Perinatal deaths in a Norwegian county 1986–96 classified by the Nordic‐Baltic perinatal classification: Geographical contrasts as a basis for quality assessment |
title_fullStr |
Perinatal deaths in a Norwegian county 1986–96 classified by the Nordic‐Baltic perinatal classification: Geographical contrasts as a basis for quality assessment |
title_full_unstemmed |
Perinatal deaths in a Norwegian county 1986–96 classified by the Nordic‐Baltic perinatal classification: Geographical contrasts as a basis for quality assessment |
title_sort |
perinatal deaths in a norwegian county 1986–96 classified by the nordic‐baltic perinatal classification: geographical contrasts as a basis for quality assessment |
publisher |
Wiley |
publishDate |
2000 |
url |
http://dx.doi.org/10.1034/j.1600-0412.2000.079002107.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1034%2Fj.1600-0412.2000.079002107.x https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1034/j.1600-0412.2000.079002107.x |
long_lat |
ENVELOPE(-59.750,-59.750,-62.383,-62.383) |
geographic |
Triplets |
geographic_facet |
Triplets |
genre |
Nordland Nordland Nordland |
genre_facet |
Nordland Nordland Nordland |
op_source |
Acta Obstetricia et Gynecologica Scandinavica volume 79, issue 2, page 107-112 ISSN 0001-6349 1600-0412 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1034/j.1600-0412.2000.079002107.x |
container_title |
Acta Obstetricia et Gynecologica Scandinavica |
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79 |
container_issue |
2 |
container_start_page |
107 |
op_container_end_page |
112 |
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