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Re: US neonatal mortality and morbidilty From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au) Sun Apr 30 18:21:23 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: question: uti in postpartum" Previous message: RModugno@aol.com: "Re: Uterine rupture after VBAC" The WHO definition of Perinatal Death is any death of a baby of 1000 gm or more (either livebirth or still birth) within the first week of delivery and Late Neonatal Death is up to 28 days after delivery. The Perinatal Mortality is perinatal deaths divided by all deliveries of >1000gm infants * 1000. i.e. deaths per thousand deliveries. Neonatal deaths is livebirths >1000 gm dying within the first 28 days divided by all live births * 1000. Some (most) countries will do the same statistics using births > 500 gm, and that is the reason why perinatal statistics for different countries need to be examined to see if you are comparing the same things. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Laure Sent: Friday, 28 April 2006 6:50 PM To: Multiple recipients of list OB-GYN-L Subject: Re: US neonatal mortality and morbidilty, was Homebirth, was VBAC, ect Of course we are comparing oranges with apples. The most important item for evaluate obstetric activitie is perinatal mortality rate (neonatal and stillbirth after 22 weeks (154 days) of gestation). Do you use legal reports to achive medical activitie?. We donīt. One thing is the legal population movement index (22 weeks or 22 cm or 500 gr) and other is the medical reports (22 weeks). Nowdays many people want to have a legal report even if the gestation was under 22, because they want to consider tha his child existed. Legal athorities do it, they donīt mind. L. Folgar OBGYN County Hospital Melilla Spain -----Mensaje original----- De: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] En nombre de Joanne Bulley, MD Enviado el: viernes, 28 de abril de 2006 2:31 Para: Multiple recipients of list OB-GYN-L Asunto: Re: US neonatal mortality and morbidilty, was Homebirth, was VBAC, ect Actually, when it comes to "neonatal death" and what goes into the numerator and denominator ... that is up to the States. In NH the legislature defined a "live birth" as > or = 500 grams - and most of those were < 26 weeks and previable. But they got reported as live births ot still borns and what were essentially 2nd trimester spontaneous abortions were part of the dismal statistics. I am not sure if it is still the NH definition, but this type of state by state decision on "what counts" makes it tough to compare "statistics" of one country to another. It makes us "look" worse regardless of how well we care for the 26 week infant and older. Joanne At Thu, 27 Apr 2006, Laure wrote: > >In order to consider a neonatal death, I supossed all of us use FIGO >definitions. > >L. Folgar > >OBGYN County Hospital Melilla > >Spain > -- Joanne Bulley, MD Keene, NH, USA Next message: Raymond Stephen: "Re: question: uti in postpartum" Previous message: RModugno@aol.com: "Re: Uterine rupture after VBAC"

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