Intrapartum death of nonmalformed fetuses in Denmark and Sweden in 1991 : A perinatal audit
In 1991 the rate of intrapartum death of non-malformed fetuses was higher in Denmark than in Sweden (4.2 vs. 1.9 per 10,000, OR 2.24). However, it is not clear whether this difference reflects potentially avoidable cases and/or suboptimal care. Short descriptions were made from medical records of al...
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| Veröffentlicht in: | Acta obstetricia et gynecologica Scandinavica 1997-11, Vol.76 (10), p.959-963 |
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| container_title | Acta obstetricia et gynecologica Scandinavica |
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| creator | WESTERGAARD, H. B LANGHOFF-ROOS, J LARSEN, S BORCH-CHRISTENSEN, H LINDMARK, G |
| description | In 1991 the rate of intrapartum death of non-malformed fetuses was higher in Denmark than in Sweden (4.2 vs. 1.9 per 10,000, OR 2.24). However, it is not clear whether this difference reflects potentially avoidable cases and/or suboptimal care.
Short descriptions were made from medical records of all 50 intrapartum deaths in Denmark and Sweden in 1991. Ten obstetricians, two from each of the Nordic countries, reviewed the cases to determine whether (1) intra-uterine death might have occurred before admission, (2) surveillance and intervention were insufficient, (3) fetal death was potentially avoidable by improved obstetric care; and, if so, to suggest ways of improved health care.
There was a statistically higher rate of insufficient care (surveillance and intervention) (high or less degree) in the Danish cases (66% vs. 55%). The proportion of potentially avoidable fetal deaths was also higher in Denmark (59% vs. 52%) although the difference was not statistically significant.
The significantly higher rate of intrapartum death of non-malformed infants in 1991 in Denmark compared to Sweden might be reduced by improved intrapartum surveillance and interventions. |
| doi_str_mv | 10.3109/00016349709034909 |
| format | Article |
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Short descriptions were made from medical records of all 50 intrapartum deaths in Denmark and Sweden in 1991. Ten obstetricians, two from each of the Nordic countries, reviewed the cases to determine whether (1) intra-uterine death might have occurred before admission, (2) surveillance and intervention were insufficient, (3) fetal death was potentially avoidable by improved obstetric care; and, if so, to suggest ways of improved health care.
There was a statistically higher rate of insufficient care (surveillance and intervention) (high or less degree) in the Danish cases (66% vs. 55%). The proportion of potentially avoidable fetal deaths was also higher in Denmark (59% vs. 52%) although the difference was not statistically significant.
The significantly higher rate of intrapartum death of non-malformed infants in 1991 in Denmark compared to Sweden might be reduced by improved intrapartum surveillance and interventions.</description><identifier>ISSN: 0001-6349</identifier><identifier>EISSN: 1600-0412</identifier><identifier>DOI: 10.3109/00016349709034909</identifier><identifier>PMID: 9435736</identifier><identifier>CODEN: AOGSAE</identifier><language>eng</language><publisher>Colchester: Taylor & Francis</publisher><subject>Adult ; Biological and medical sciences ; Cause of Death ; Delivery. Postpartum. Lactation ; Denmark - epidemiology ; Disorders ; Female ; Fetal Death - epidemiology ; Fetal Death - etiology ; Gynecology. Andrology. Obstetrics ; Humans ; Infant Mortality ; Infant, Newborn ; Marital Status ; Maternal Age ; Medical sciences ; Obstetric Labor Complications - mortality ; Parity ; Pregnancy ; Sweden - epidemiology</subject><ispartof>Acta obstetricia et gynecologica Scandinavica, 1997-11, Vol.76 (10), p.959-963</ispartof><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2069785$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9435736$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WESTERGAARD, H. B</creatorcontrib><creatorcontrib>LANGHOFF-ROOS, J</creatorcontrib><creatorcontrib>LARSEN, S</creatorcontrib><creatorcontrib>BORCH-CHRISTENSEN, H</creatorcontrib><creatorcontrib>LINDMARK, G</creatorcontrib><title>Intrapartum death of nonmalformed fetuses in Denmark and Sweden in 1991 : A perinatal audit</title><title>Acta obstetricia et gynecologica Scandinavica</title><addtitle>Acta Obstet Gynecol Scand</addtitle><description>In 1991 the rate of intrapartum death of non-malformed fetuses was higher in Denmark than in Sweden (4.2 vs. 1.9 per 10,000, OR 2.24). However, it is not clear whether this difference reflects potentially avoidable cases and/or suboptimal care.
Short descriptions were made from medical records of all 50 intrapartum deaths in Denmark and Sweden in 1991. Ten obstetricians, two from each of the Nordic countries, reviewed the cases to determine whether (1) intra-uterine death might have occurred before admission, (2) surveillance and intervention were insufficient, (3) fetal death was potentially avoidable by improved obstetric care; and, if so, to suggest ways of improved health care.
There was a statistically higher rate of insufficient care (surveillance and intervention) (high or less degree) in the Danish cases (66% vs. 55%). The proportion of potentially avoidable fetal deaths was also higher in Denmark (59% vs. 52%) although the difference was not statistically significant.
The significantly higher rate of intrapartum death of non-malformed infants in 1991 in Denmark compared to Sweden might be reduced by improved intrapartum surveillance and interventions.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cause of Death</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Denmark - epidemiology</subject><subject>Disorders</subject><subject>Female</subject><subject>Fetal Death - epidemiology</subject><subject>Fetal Death - etiology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infant Mortality</subject><subject>Infant, Newborn</subject><subject>Marital Status</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Obstetric Labor Complications - mortality</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Sweden - epidemiology</subject><issn>0001-6349</issn><issn>1600-0412</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE9LxDAUxIMo67r6ATwIOYi3atI0SeNN1n8LCx7Uk4fy2rxitU1rkiJ-e7tYPA1v5seDGUJOObsUnJkrxhhXIjOaGTYJM3tkyRVjCct4uk-WuzzZAYfkKISP6Up1li_IwmRCaqGW5G3joocBfBw7ahHiO-1r6nrXQVv3vkNLa4xjwEAbR29x8v0nBWfp8zdadDuXG8PpNb2hA_rGQYSWwmibeEwOamgDnsy6Iq_3dy_rx2T79LBZ32yTIRUyJipTgDmoMtcIhnObKSbAVpzLyqgM0oopLFGB1aU0suYllwZSCcaiKmUlVuTi7-_g-68RQyy6JlTYtuCwH0OhjUwFy_UEns3gWE7NisE3U52fYl5jys_nHEI19ffgqib8YylTRudS_AI3WG2L</recordid><startdate>19971101</startdate><enddate>19971101</enddate><creator>WESTERGAARD, H. B</creator><creator>LANGHOFF-ROOS, J</creator><creator>LARSEN, S</creator><creator>BORCH-CHRISTENSEN, H</creator><creator>LINDMARK, G</creator><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19971101</creationdate><title>Intrapartum death of nonmalformed fetuses in Denmark and Sweden in 1991 : A perinatal audit</title><author>WESTERGAARD, H. B ; LANGHOFF-ROOS, J ; LARSEN, S ; BORCH-CHRISTENSEN, H ; LINDMARK, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p235t-646ae8a6b87ea911d4603adc115c964a2c06ebe6ad7b595f1b159a25a9de6b5c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cause of Death</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Denmark - epidemiology</topic><topic>Disorders</topic><topic>Female</topic><topic>Fetal Death - epidemiology</topic><topic>Fetal Death - etiology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infant Mortality</topic><topic>Infant, Newborn</topic><topic>Marital Status</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Obstetric Labor Complications - mortality</topic><topic>Parity</topic><topic>Pregnancy</topic><topic>Sweden - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>WESTERGAARD, H. B</creatorcontrib><creatorcontrib>LANGHOFF-ROOS, J</creatorcontrib><creatorcontrib>LARSEN, S</creatorcontrib><creatorcontrib>BORCH-CHRISTENSEN, H</creatorcontrib><creatorcontrib>LINDMARK, G</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>WESTERGAARD, H. B</au><au>LANGHOFF-ROOS, J</au><au>LARSEN, S</au><au>BORCH-CHRISTENSEN, H</au><au>LINDMARK, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intrapartum death of nonmalformed fetuses in Denmark and Sweden in 1991 : A perinatal audit</atitle><jtitle>Acta obstetricia et gynecologica Scandinavica</jtitle><addtitle>Acta Obstet Gynecol Scand</addtitle><date>1997-11-01</date><risdate>1997</risdate><volume>76</volume><issue>10</issue><spage>959</spage><epage>963</epage><pages>959-963</pages><issn>0001-6349</issn><eissn>1600-0412</eissn><coden>AOGSAE</coden><abstract>In 1991 the rate of intrapartum death of non-malformed fetuses was higher in Denmark than in Sweden (4.2 vs. 1.9 per 10,000, OR 2.24). However, it is not clear whether this difference reflects potentially avoidable cases and/or suboptimal care.
Short descriptions were made from medical records of all 50 intrapartum deaths in Denmark and Sweden in 1991. Ten obstetricians, two from each of the Nordic countries, reviewed the cases to determine whether (1) intra-uterine death might have occurred before admission, (2) surveillance and intervention were insufficient, (3) fetal death was potentially avoidable by improved obstetric care; and, if so, to suggest ways of improved health care.
There was a statistically higher rate of insufficient care (surveillance and intervention) (high or less degree) in the Danish cases (66% vs. 55%). The proportion of potentially avoidable fetal deaths was also higher in Denmark (59% vs. 52%) although the difference was not statistically significant.
The significantly higher rate of intrapartum death of non-malformed infants in 1991 in Denmark compared to Sweden might be reduced by improved intrapartum surveillance and interventions.</abstract><cop>Colchester</cop><pub>Taylor & Francis</pub><pmid>9435736</pmid><doi>10.3109/00016349709034909</doi><tpages>5</tpages></addata></record> |
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| ispartof | Acta obstetricia et gynecologica Scandinavica, 1997-11, Vol.76 (10), p.959-963 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Biological and medical sciences Cause of Death Delivery. Postpartum. Lactation Denmark - epidemiology Disorders Female Fetal Death - epidemiology Fetal Death - etiology Gynecology. Andrology. Obstetrics Humans Infant Mortality Infant, Newborn Marital Status Maternal Age Medical sciences Obstetric Labor Complications - mortality Parity Pregnancy Sweden - epidemiology |
| title | Intrapartum death of nonmalformed fetuses in Denmark and Sweden in 1991 : A perinatal audit |
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