Perinatal mortality and case fatality after placental abruption in Norway 1967-1991

Acta Obstetricia Et Gynecologica Scandinavica
S RasmussenK Dalaker

Abstract

To study national secular trends in Norway of perinatal mortality and case fatality to placental abruption (PA) and associations with cesarean section (CS). A population based cohort study. The Medical Birth Registry of Norway. 9,592 cases of placental abruption (PA) of a total of 1,446,154 births notified in Norway 1967-1991. Comprehensive perinatal mortality (all stillbirths > or = 16 weeks of gestation and early neonatal deaths) and standard perinatal mortality (all stillbirths > or = 28 weeks of gestation and all early neonatal deaths). Case fatality rate. From 1967 through 1991, the standard perinatal mortality rate due to placental abruption (PA) in Norway decreased from 2.5 per 1000 births (13.5% of all deaths) in 1967 to 0.9 (13.2%) in 1991. The comprehensive perinatal mortality rate due to placental abruption (PA) in Norway decreased from 3.2 to 1.7 per 1000. The proportion of all perinatal deaths due to PA increased from 11.4% in 1967-1971 to 217.0 in 1987-91 and decreased in all gestational age categories. Case fatality in PA with cesarean section (CS) was generally lower than in PA without CS, regardless of gestational age. Placental abruption is an important cause of perinatal mortality in Norway. Our results are i...Continue Reading

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Citations

Feb 13, 1999·Paediatric and Perinatal Epidemiology·S RasmussenK Dalaker
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