Classification of perinatal death.
Open Access
- 1 October 1989
- journal article
- research article
- Published by BMJ in Archives of Disease in Childhood
- Vol. 64 (10 Spec No), 1345-1351
- https://doi.org/10.1136/adc.64.10_spec_no.1345
Abstract
Three paediatric pathologists, one perinatal paediatrician, one obstetrician, and one epidemiologist separately used information collected on 239 babies in an attempt to validate the Wigglesworth classification of perinatal deaths. This was first done using clinical data only, then using the combination of clinical and gross necropsy findings and finally using clinical, gross necropsy, histological and any other information (for example, chromosome analyses, microbiological investigations). Only 14 (6%) of deaths changed groups within the Wigglesworth classification when gross necropsy findings were considered as well as clinical findings, and altogether only 21 (9%) changed classification when complete investigations were available. There was an unacceptable amount (15%) of disagreement between the classifiers, largely the result of failure to comply with the rules laid down for classification. We set out amendments to Wigglesworth's original definitions to clarify certain ambiguities.Keywords
This publication has 10 references indexed in Scilit:
- The perinatal morbidity and mortality survey of Jamaica 1986–1987Paediatric and Perinatal Epidemiology, 1988
- Classifying perinatal death: an obstetric approachBJOG: An International Journal of Obstetrics and Gynaecology, 1986
- Classifying perinatal death: fetal and neonatal factorsBJOG: An International Journal of Obstetrics and Gynaecology, 1986
- Perinatally related wastage—a proposed classification of primary obstetric factorsBJOG: An International Journal of Obstetrics and Gynaecology, 1986
- Perinatally related wastage-a proposed classification of primary obstetric factorsBJOG: An International Journal of Obstetrics and Gynaecology, 1986
- Impact of improved perinatal care on the causes of death.Archives of Disease in Childhood, 1984
- MONITORING PERINATAL MORTALITYThe Lancet, 1980
- Causes of perinatal mortality in the US Collaborative Perinatal Project.1977
- Causes of Perinatal Mortality in the US Collaborative Perinatal ProjectJAMA, 1977
- Perinatal Mortality: The First Report of the 1958 British Perinatal Mortality SurveyThe Milbank Memorial Fund Quarterly, 1965