Document Detail

Perinatal and neonatal mortality in Northwest Greece (1996-2004).
MedLine Citation:
PMID:  20082595     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: An improvement in perinatal mortality is reported in various countries. This is a retrospective analysis of perinatal and neonatal mortality in Northwest (NW) Greece.
METHODS: Analysis was made of the births and deaths register in NW Greece and records of the regional referral tertiary care center and the National Hospitals at the same area for the period 1996-2004. Perinatal mortality was analysed according to birthweight (BW) and gestational age (GA) for two separate periods, 1996-1999 (I) and 2000-2004 (II), corresponding to an increase in antenatal steroid use from 20% to 63%.
RESULTS: Neonatal mortality improved between the two periods in infants with very low BW [very low birth weight (VLBW), <1500 g] and the very preterm infants (<28 weeks GA). Severe respiratory distress syndrome (RDS) decreased (p<0.001) for infants with GA≤34 weeks and those with BW 751-1500 g (p<0.02), and perinatal asphyxia is no longer a leading cause of death. Intrauterine transfer increased (p<0.001) for infants with BW≤1500 g. The main cause of death as derived from birth records and neonatal intensive care unit records is prematurity, alone or with complications.
CONCLUSIONS: With the introduction of antenatal steroids and increase in intrauterine transfer there has been a decrease in neonatal mortality of VLBW infants in NW Greece.
K Pantou; A Drougia; N Krallis; E Hotoura; M Papassava; S Andronikou
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  23     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-13     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  1237-43     Citation Subset:  IM    
Neonatal Intensive Care Unit, Department of Child Health, School of Medicine, University of Ioannina, Ioannina, Greece.
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MeSH Terms
Birth Weight
Gestational Age
Greece / epidemiology
Infant, Newborn
Perinatal Mortality / trends*
Sex Distribution

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