BORA - UiB

Bergen Open Research Archive

Gestational Age Patterns of Fetal and Neonatal Mortality in Europe: Results from the Euro-Peristat Project

Bergen Open Research Archive

Show simple item record

dc.contributor.author Mohangoo, Ashna D.
dc.contributor.author Buitendijk, Simone E.
dc.contributor.author Szamotulska, Katarzyna
dc.contributor.author Chalmers, Jim
dc.contributor.author Irgens, Lorentz M.
dc.contributor.author Bolumar, Francisco
dc.contributor.author Nijhuis, Jan G.
dc.contributor.author Zeitlin, Jennifer
dc.date.accessioned 2012-02-27T14:12:18Z
dc.date.available 2012-02-27T14:12:18Z
dc.date.issued 2011-11-16
dc.identifier.citation PLoS ONE 6(11): e24727 en
dc.identifier.issn 1932-6203
dc.identifier.uri http://dx.doi.org/10.1371/journal.pone.0024727
dc.identifier.uri http://hdl.handle.net/1956/5649
dc.description.abstract Background: The first European Perinatal Health Report showed wide variability between European countries in fetal (2.6– 9.1%) and neonatal (1.6–5.7%) mortality rates in 2004. We investigated gestational age patterns of fetal and neonatal mortality to improve our understanding of the differences between countries with low and high mortality. Methodology/Principal Findings: Data on 29 countries/regions participating in the Euro-Peristat project were analyzed. Most European countries had no limits for the registration of live births, but substantial variations in limits for registration of stillbirths before 28 weeks of gestation existed. Country rankings changed markedly after excluding deaths most likely to be affected by registration differences (22–23 weeks for neonatal mortality and 22–27 weeks for fetal mortality). Countries with high fetal mortality $28 weeks had on average higher proportions of fetal deaths at and near term ($37 weeks), while proportions of fetal deaths at earlier gestational ages (28–31 and 32–36 weeks) were higher in low fetal mortality countries. Countries with high neonatal mortality rates $24 weeks, all new member states of the European Union, had high gestational age-specific neonatal mortality rates for all gestational-age subgroups; they also had high fetal mortality, as well as high early and late neonatal mortality. In contrast, other countries with similar levels of neonatal mortality had varying levels of fetal mortality, and among these countries early and late neonatal mortality were negatively correlated. Conclusions: For valid European comparisons, all countries should register births and deaths from at least 22 weeks of gestation and should be able to distinguish late terminations of pregnancy from stillbirths. After excluding deaths most likely to be influenced by existing registration differences, important variations in both levels and patterns of fetal and neonatal mortality rates were found. These disparities raise questions for future research about the effectiveness of medical policies and care in European countries. en
dc.language.iso eng en
dc.publisher Public Library of Science en
dc.rights Copyright 2011 Mohangoo et al. en
dc.rights.uri http://creativecommons.org/licenses/by/2.5/ en
dc.title Gestational Age Patterns of Fetal and Neonatal Mortality in Europe: Results from the Euro-Peristat Project en
dc.type Peer reviewed en
dc.type Journal article en
dc.subject.nsi VDP::Medical disciplines: 700::Health sciences: 800 en
dc.type.version publishedVersion en


Files in this item

 

This item appears in the following Collection(s)

Show simple item record

Copyright 2011 Mohangoo et al. Except where otherwise noted, this item's license is described as Copyright 2011 Mohangoo et al.

Search BORA


Browse

My Account