Assessment of preventability of perinatal losses when using the NordicBaltic perinatal death classification
Abstract
We have studied the dynamics of preventability of perinatal losses according to data of Maternity Department of а large versatile hospital using the NordicBaltic perinatal death classification taking into account transition to criteria of the World health organization to the period from 2010 to 2015. We investigated 649 protocols of postmortem examination of fetus and the newborns died in Maternity Department of a large versatile hospital (Novosibirsk) during the period from 2010 to 2015. Unavoidable losses for the probed period of observation have a clear tendency to decrease, that is connected with the improving of prenatal diagnosis of congenital malformations and termination of pregnancy before 22nd week. In 2012 after transition to criteria of the World health organization the indices of perinatal losses increased due to the III category, coming under conditionally preventable losses, and the categories integrating the death of the newborn infants (the VIII-XII categories) coming under preventable losses. After transition to criteria of the World health organization the share of preventable losses is reached more than 90%, that represents the considerable reserve for decreasing of a perinatal lethality.
About the Authors
A. P. Nadeev
Novosibirsk State Medical University; Research institute of experimental and clinical medicine, Novosibirsk
Russian Federation
Russian Federation
M. A. Karpov
Novosibirsk State Medical University; Research institute of experimental and clinical medicine, Novosibirsk
Russian Federation
Russian Federation
V. A. Zhukova
Novosibirsk State Medical University
Russian Federation
Russian Federation
T. G. Chernova
Novosibirsk State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Nadeev A.P., Karpov M.A., Zhukova V.A., Chernova T.G. Assessment of preventability of perinatal losses when using the NordicBaltic perinatal death classification. Journal of Siberian Medical Sciences. 2017;(1):13-18.
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