Abstract
The perinatal mortality rate (PNMR) was calculated for each rural parish in Gloucestershire for the years 1968-79. The characteristics of high- and low-rate parishes (each set comprising about 10% of all births) were contrasted according to routinely recorded fetal, maternal and environmental variables. The overall PNMR in the high-rate set was six times higher than in the low-rate set; congenital malformations and low birth weight distribution could explain about one-third of this difference but the residue was not attributable to fetal gestation, maternal age or parity or social class as may have been expected. However, there was a strong association with population and housing density. It is suggested that comparisons within districts may provide more sensitive associations with PNMR than comparisons between districts, regions and countries.
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- Bakketeig L. S., Hoffman H. J., Sternthal P. M. Obstetric service and perinatal mortality in Norway. Acta Obstet Gynecol Scand Suppl. 1978;77:3–19. doi: 10.3109/00016347809157954. [DOI] [PubMed] [Google Scholar]
- Chamberlain G. Background to perinatal health. Lancet. 1979 Nov 17;2(8151):1061–1063. doi: 10.1016/s0140-6736(79)92454-1. [DOI] [PubMed] [Google Scholar]
- Gordon R. R. Neonatal mortality in Avon. Br Med J (Clin Res Ed) 1981 Mar 28;282(6269):1071–1072. doi: 10.1136/bmj.282.6269.1071. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hemminki K., Niemi M. L., Saloniemi I., Vainio H., Hemminki E. Spontaneous abortions by occupation and social class in Finland. Int J Epidemiol. 1980 Jun;9(2):149–153. doi: 10.1093/ije/9.2.149. [DOI] [PubMed] [Google Scholar]
- Illingworth R. S. Why blame the obstetrician? A review. Br Med J. 1979 Mar 24;1(6166):797–801. doi: 10.1136/bmj.1.6166.797. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McIlwaine G. M., Howat R. C., Dunn F., Macnaughton M. C. The Scottish perinatal mortality survey. Br Med J. 1979 Nov 3;2(6198):1103–1106. doi: 10.1136/bmj.2.6198.1103. [DOI] [PMC free article] [PubMed] [Google Scholar]
- PLEYDELL M. J. Anencephaly and other congenital abnormalities. An epidemiological study in Northamptonshire. Br Med J. 1960 Jan 30;1(5169):309–315. doi: 10.1136/bmj.1.5169.309. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Taylor G. W., Edgar W., Taylor B. A., Neal D. G. How safe is general practitioner obstetrics? Lancet. 1980 Dec 13;2(8207):1287–1289. doi: 10.1016/s0140-6736(80)92348-x. [DOI] [PubMed] [Google Scholar]