Document Detail


Perinatal mortality rates do not contain what they purport to contain.
MedLine Citation:
PMID:  6144886     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three cases of perinatal death, of which two needed to be included in and one excluded from national perinatal mortality statistics, were presented to 1004 specialist and trainee obstetricians in northern Belgium (ie, Flanders) and the Netherlands. Of the respondents (52%), 69% admitted that they would report none of the cases and 13% would report all of them. Overreporting occurred twice as often and underreporting ten times as often as correct reporting--only 6% would apply the current regulations for registration of perinatal mortality correctly in all three cases. Although the statutory regulations with regard to the cases were similar in the two countries, there were differences between Belgian and Dutch doctors in their reporting of these three cases. This indicates that Belgian and Dutch perinatal mortality statistics do not measure the same thing and that neither contains what it purports to contain. The findings cast doubts on the validity of using national perinatal mortality figures as indicators of perinatal health or perinatal care in and between European countries.
3 cases of perinatal death, of which 2 needed to be included in and 1 excluded from national perinatal mortality statistics, were presented to 1004 specialist and trainee obstetricians in northern Belgium and the Netherlands. Of the respondents (52%), 69% admitted that they would report none of the cases and 13% would report all of them. Overreporting occurred twice as often and underreporting 10 times as often as correct reporting--only 6% would apply the current regulations for registration of perinatal mortality correctly in all 3 cases. Although the statutory regulations with regard to the cases were similar in the 2 countries, there were differences between Belgian and Dutch doctors in their reporting of these 3 cases. This indicates that Belgian and Dutch perinatal mortality statistics do not measure the same thing and that neither contains what it purports to contain. The findings cast doubt on the validity of using national perinatal mortality figures as indicators of perinatal health or perinatal care in and between European countries.
Authors:
M J Keirse
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Lancet     Volume:  1     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  1984 May 
Date Detail:
Created Date:  1984-07-09     Completed Date:  1984-07-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1166-9     Citation Subset:  AIM; IM; J    
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MeSH Terms
Descriptor/Qualifier:
Anencephaly
Attitude of Health Personnel
Belgium
Death Certificates*
Female
Fetal Death*
Humans
Infant Mortality*
Infant, Newborn
Legislation, Medical
Netherlands
Obstetrics
Pregnancy
Records as Topic
Statistics as Topic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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