FW: perinatal stats

From: DuBose, Terry (DuboseTerryJ@exchange.uams.edu)
Wed Aug 12 09:02:05 1998


Annette, thanks very much for your input. Your are correct in this, especially the high risk migrant population. Hope you don't mind if I share it with the list, which is made up of folks who have an intense interest in this subject. Thanks again.
--
Peace, Terry J. DuBose, M.S., RDMS

Stats needed depend on one's purpose. As you suggested, there may be other variables to be considered, for which an intense epidemiologic study is necessary. In addition to birth certificates, there are also fetal death certificates. Medical records, of course. Interviews, etc. There are some complex ways of looking at data, such as matching birth and death certificates, correlating with census tracts and census tract vital statistics, etc. In Louisiana, under the direction of Dr. Robert Beckerman, Tulane Medical School, New Orleans, LA, there is an attempt for each SIDS (Sudden Infant Death) case to be autopsied by a skilled pathologist, for training of medical and emergency personnel - especially death scene reporting and description, and for an interview with the family by a public health nurse. This in-depth approach will uncover variables that may not show up on a birth or death certificate. This sounds like what would be necessary with the anacephalics - some type of in-depth approach. And if you are dealing with a migrant population, it will not be easy to track over time. The highest of the high risk and the hardest of the hard to reach are not easy to study.




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