Document Detail

Preventable feto-infant mortality: application of a conceptual framework for perinatal health surveillance to Manitoba perinatal outcomes.
MedLine Citation:
PMID:  12580387     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Perinatal health surveillance systems have lacked conceptual frameworks to translate data into information for policy and program planning. This paper demonstrates the application of a conceptual framework in the analysis of feto-infant mortality data in the province of Manitoba.
METHODS: Fetal and infant deaths were categorized according to a two-dimensional framework of birthweight and age-at-death, and grouped into four broad categories of contributors to perinatal health: Maternal Health, Maternal Care, Newborn Care, and Infant Care. Birth Weight Proportionate Mortality Rates (BWPMR) were calculated for each of the four categories, and preventable "excess" feto-infant mortality was estimated through comparisons to a benchmark sub-population.
RESULTS: Between 1985 and 1998, feto-infant mortality declined from 12.3 to 9.8 deaths per 1000 births in Manitoba. Much of this decline occurred in the Newborn Care category; there were only slight declines in deaths attributed to Maternal Health and Infant Care factors. Comparison of the feto-infant mortality rate to the benchmark rate revealed an excess of 3.46 deaths per 1000 births, an "opportunity gap" of 33%. Substantial regional variations in feto-infant mortality rates were observed.
SUMMARY: Application of this conceptual framework provided useful information to aid in policy and program planning. As the greatest excess feto-infant mortality was observed in the Maternal Health and Infant Care categories, attention to the broader determinants of health which influence these categories will be required.
Maureen Heaman; Lawrence J Elliott; Carole Beaudoin; Lynn Baker; James F Blanchard;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Canadian journal of public health = Revue canadienne de santé publique     Volume:  93 Suppl 2     ISSN:  0008-4263     ISO Abbreviation:  Can J Public Health     Publication Date:    2002 Nov-Dec
Date Detail:
Created Date:  2003-02-12     Completed Date:  2003-04-18     Revised Date:  2013-06-05    
Medline Journal Info:
Nlm Unique ID:  0372714     Medline TA:  Can J Public Health     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  S27-32     Citation Subset:  IM    
Faculty of Nursing, Helen Glass Centre for Nursing, University of Manitoba, Winnipeg, MB.
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MeSH Terms
Birth Weight
Fetal Death / epidemiology*
Health Policy*
Hospital Mortality
Infant Mortality / trends*
Infant, Newborn
Infant, Premature
Manitoba / epidemiology
Maternal Health Services / standards*
Maternal Welfare*
Perinatal Care / standards*
Population Surveillance*
Public Health Informatics
Regional Health Planning
Socioeconomic Factors

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

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