Intrapartum death of nonmalformed fetuses in Denmark and Sweden in 1991. A perinatal audit

Acta Obstetricia Et Gynecologica Scandinavica
H B WestergaardG C Lindmark

Abstract

In 1991 the rate of intrapartum death of non-malformed fetuses was higher in Denmark than in Sweden (4.2 vs. 1.9 per 10,000, OR 2.24). However, it is not clear whether this difference reflects potentially avoidable cases and/or suboptimal care. Short descriptions were made from medical records of all 50 intrapartum deaths in Denmark and Sweden in 1991. Ten obstetricians, two from each of the Nordic countries, reviewed the cases to determine whether (1) intra-uterine death might have occurred before admission, (2) surveillance and intervention were insufficient, (3) fetal death was potentially avoidable by improved obstetric care; and, if so, to suggest ways of improved health care. There was a statistically higher rate of insufficient care (surveillance and intervention) (high or less degree) in the Danish cases (66% vs. 55%). The proportion of potentially avoidable fetal deaths was also higher in Denmark (59% vs. 52%) although the difference was not statistically significant. The significantly higher rate of intrapartum death of non-malformed infants in 1991 in Denmark compared to Sweden might be reduced by improved intrapartum surveillance and interventions.

Citations

Nov 1, 2005·Seminars in Neonatology : SN·Gunilla Lindmark, Jens Langhoff-Roos
Dec 26, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Iryna MogilevkinaGunilla Lindmark
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Apr 12, 2002·Acta Obstetricia Et Gynecologica Scandinavica·Judith H Wolleswinkel-van den BoschJohan P Mackenbach
May 11, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·M Y DivonM Westgren

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