Document Detail


Perinatal deaths: relevance of Wigglesworth's classification.
MedLine Citation:
PMID:  1553317     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Out of a total of 4572 births over a period of 16 months occurring at St Philomena's Hospital, Bangalore, India, which has level II nursery facilities, there were 196 perinatal deaths. Perinatal mortality was 42.9/1000 total births. Case fatality rate was 12.4% for those born with a birthweight between 1501 to 2000 g, 35.5% for those between 1001 to 1500 g and 100% for those less than 1001 g. These deaths were grouped according to Wigglesworth's classification: 20% were due to prematurity and 24% to birth asphyxia. These two categories contributed to almost half of the perinatal deaths. Classification of perinatal deaths using Wigglesworth's classification appeared to be a practical and problem-oriented system. It also carried clear implications for improving perinatal care. The adoption of this method of classification by all major hospitals is recommended so that easy comparisons can be drawn over time and between different centres.
Of a total of 4572 births over a 16-month period occurring at St. Philomena's Hospital, Bangalore, India (with level 2 nursery facilities), there were 196 cases of perinatal death. Perinatal mortality was 42.9/1000 total births. The case fatality rate was 12.4% for those born with a birthweight between 1501-2000 g, 35.5% for those between 1001-1500 g, and 100% for those under 1001 g. These deaths were grouped according to Wigglesworth's classification--20% were due to prematurity and 24% to birth asphyxia. These 2 categories contributed to almost 1/2 of the perinatal deaths. Classification of perinatal deaths using this classification appeared to be a practical and problem-oriented system. It also carried clear implications for improving perinatal care. The adoption of this method of classification by all major hospitals is recommended so that easy comparison can be drawn over time and between different centers.
Authors:
G Raghuveer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Paediatric and perinatal epidemiology     Volume:  6     ISSN:  0269-5022     ISO Abbreviation:  Paediatr Perinat Epidemiol     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-04-28     Completed Date:  1992-04-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8709766     Medline TA:  Paediatr Perinat Epidemiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  45-50     Citation Subset:  IM; J    
Affiliation:
Royal Women's Hospital, Melbourne, Victoria, Australia.
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MeSH Terms
Descriptor/Qualifier:
Asphyxia / mortality
Birth Weight
Congenital Abnormalities / mortality
Humans
India / epidemiology
Infant
Infant Mortality*
Infant, Newborn
Infant, Premature, Diseases / mortality

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