E R Allanson1,2, J P Vogel3, Ӧ Tunçalp3, J Gardosi4, R C Pattinson5, A Francis4, Jjhm Erwich6, V J Flenady7,8, J F Frøen9,10, J Neilson11, A Quach12, D Chou3, M Mathai13, L Say3, A M Gülmezoglu3. 1. School of Women's and Infants' Health, Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Crawley, WA, Australia. allansone@who.int. 2. Department of Reproductive Health and Research, including UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneva, Switzerland. allansone@who.int. 3. Department of Reproductive Health and Research, including UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneva, Switzerland. 4. Perinatal Institute, Edgbaston, Birmingham, UK. 5. SAMRC Maternal and Infant Health Care Strategies Unit, Department of Obstetrics and Gynaecology, University of Pretoria, Pretoria, South Africa. 6. Department of Obstetrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. 7. Mater Research Institute, The University of Queensland (MRI-UQ), Brisbane, QLD, Australia. 8. International Stillbirth Alliance, Bristol, UK. 9. Department of International Public Health, Norwegian Institute of Public Health, Oslo, Norway. 10. Centre for Intervention Science for Maternal and Child Health, University of Bergen, Bergen, Norway. 11. Centre for Women's Health Research, University of Liverpool, Liverpool, UK. 12. Pacific Northwest University of Health Sciences, Yakima, WA, USA. 13. Maternal & Perinatal Health, Department of Maternal, Newborn, Child & Adolescent Health, World Health Organization, Geneva, Switzerland.
Abstract
OBJECTIVE: We explore preterm-related neonatal deaths using the WHO application of the International Classification of Disease (ICD-10) to deaths during the perinatal period: ICD-PM as an informative case study, where ICD-PM can improve data use to guide clinical practice and programmatic decision-making. DESIGN: Retrospective application of ICD-PM. SETTING: South Africa, and the UK. POPULATION: Perinatal death databases. METHODS: Descriptive analysis of neonatal deaths and maternal conditions present. MAIN OUTCOME MEASURES: Causes of preterm neonatal mortality and associated maternal conditions. RESULTS: We included 98 term and 173 preterm early neonatal deaths from South Africa, and 956 term and 3248 preterm neonatal deaths from the UK. In the South African data set, the main causes of death were respiratory/cardiovascular disorders (34.7%), low birthweight/prematurity (29.2%), and disorders of cerebral status (25.5%). Amongst preterm deaths, low birthweight/prematurity (43.9%) and respiratory/cardiovascular disorders (32.4%) were the leading causes. In the data set from the UK, the leading causes of death were low birthweight/prematurity (31.6%), congenital abnormalities (27.4%), and deaths of unspecified cause (26.1%). In the preterm deaths, the leading causes were low birthweight/prematurity (40.9%) and deaths of unspecified cause (29.6%). In South Africa, 61% of preterm deaths resulted from the maternal condition of preterm spontaneous labour. Among the preterm deaths in the data set from the UK, no maternal condition was present in 36%, followed by complications of placenta, cord, and membranes (23%), and other complications of labour and delivery (22%). CONCLUSIONS: ICD-PM can be used to appraise the maternal and newborn conditions contributing to preterm deaths, and can inform practice. TWEETABLE ABSTRACT: ICD-PM can be used to appraise maternal and newborn contributors to preterm deaths to improve quality of care.
OBJECTIVE: We explore preterm-related neonatal deaths using the WHO application of the International Classification of Disease (ICD-10) to deaths during the perinatal period: ICD-PM as an informative case study, where ICD-PM can improve data use to guide clinical practice and programmatic decision-making. DESIGN: Retrospective application of ICD-PM. SETTING: South Africa, and the UK. POPULATION: Perinatal death databases. METHODS: Descriptive analysis of neonatal deaths and maternal conditions present. MAIN OUTCOME MEASURES: Causes of preterm neonatal mortality and associated maternal conditions. RESULTS: We included 98 term and 173 preterm early neonatal deaths from South Africa, and 956 term and 3248 preterm neonatal deaths from the UK. In the South African data set, the main causes of death were respiratory/cardiovascular disorders (34.7%), low birthweight/prematurity (29.2%), and disorders of cerebral status (25.5%). Amongst preterm deaths, low birthweight/prematurity (43.9%) and respiratory/cardiovascular disorders (32.4%) were the leading causes. In the data set from the UK, the leading causes of death were low birthweight/prematurity (31.6%), congenital abnormalities (27.4%), and deaths of unspecified cause (26.1%). In the preterm deaths, the leading causes were low birthweight/prematurity (40.9%) and deaths of unspecified cause (29.6%). In South Africa, 61% of preterm deaths resulted from the maternal condition of preterm spontaneous labour. Among the preterm deaths in the data set from the UK, no maternal condition was present in 36%, followed by complications of placenta, cord, and membranes (23%), and other complications of labour and delivery (22%). CONCLUSIONS: ICD-PM can be used to appraise the maternal and newborn conditions contributing to preterm deaths, and can inform practice. TWEETABLE ABSTRACT: ICD-PM can be used to appraise maternal and newborn contributors to preterm deaths to improve quality of care.
Authors: Robert L Goldenberg; Lulu Muhe; Sarah Saleem; Sangappa Dhaded; Shivaprasad S Goudar; Janna Patterson; Assaye Nigussie; Elizabeth M McClure Journal: J Matern Fetal Neonatal Med Date: 2018-08-23
Authors: Tina Lavin; Emma R Allanson; Lee Nedkoff; David B Preen; Robert C Pattinson Journal: Bull World Health Organ Date: 2018-10-17 Impact factor: 9.408
Authors: Manarangi De Silva; Leeanne Panisi; Lenin Manubuasa; Catherine Honimae; Susan Taragwanu; Simon Burggraaf; Divinal Ogaoga; Anthea Lindquist; Susan Walker; Stephen Tong; Roxanne Hastie Journal: Lancet Reg Health West Pac Date: 2020-11-20