Skip to main content
NCBI home page
The Ulster Medical Journal logoLink to The Ulster Medical Journal
. 1989 Apr;58(1):40–45.

Perinatal mortality in Northern Ireland: where are we now?

F Kee, D Stewart, J Jenkins, A Ritchie, J D Watson
PMCID: PMC2448549  PMID: 2773170

Abstract

Perinatal mortality in Northern Ireland has been declining over the last 30 years, but the factors which may account for this fall have not been clearly delineated. Crude perinatal mortality figures yield very little insight into the problem, and meaningful management statistics are urgently required if service performance is to be reasonably assessed. This paper sets out the case for birth-weight standardisation and explores the utility of a broad diagnostic taxonomy of causes of death.

Full text

PDF
40

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Black N., Macfarlane A. Methodological kit: monitoring perinatal mortality statistics in a health district. Community Med. 1982 Feb;4(1):25–33. doi: 10.1007/BF02549059. [DOI] [PubMed] [Google Scholar]
  2. Carr-Hill R. A., Hardman G. F., Russell I. T. Variations in avoidable mortality and variations in health care resources. Lancet. 1987 Apr 4;1(8536):789–792. doi: 10.1016/s0140-6736(87)92810-8. [DOI] [PubMed] [Google Scholar]
  3. Chalmers I. Short, Black, Baird, Himsworth, and social class differences in fetal and neonatal mortality rates. Br Med J (Clin Res Ed) 1985 Jul 27;291(6490):231–233. doi: 10.1136/bmj.291.6490.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Diehr P. Small area statistics: large statistical problems. Am J Public Health. 1984 Apr;74(4):313–314. doi: 10.2105/ajph.74.4.313. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Friede A., Rhodes P. H., Guyer B., Binkin N. J., Hannan M. T., Hogue C. J. The postponement of neonatal deaths into the postneonatal period: evidence from Massachusetts. Am J Epidemiol. 1988 Jan;127(1):161–170. doi: 10.1093/oxfordjournals.aje.a114776. [DOI] [PubMed] [Google Scholar]
  6. Knox E. G., Armstrong E. H., Lancashire R. The quality of notification of congenital malformations. J Epidemiol Community Health. 1984 Dec;38(4):296–305. doi: 10.1136/jech.38.4.296. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Knox E. G., Lancashire R., Armstrong E. H. Perinatal mortality standards: construction and use of a health care performance indicator. J Epidemiol Community Health. 1986 Sep;40(3):193–204. doi: 10.1136/jech.40.3.193. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Knox E. G., Marshall T., Kane S., Green A., Mallett R. Social and health care determinants of area variations in perinatal mortality. Community Med. 1980 Nov;2(4):282–290. [PubMed] [Google Scholar]
  9. Mallett R., Knox E. G. Standardized perinatal mortality ratios: technique, utility and interpretation. Community Med. 1979 Feb;1(1):6–13. doi: 10.1007/BF02548737. [DOI] [PubMed] [Google Scholar]
  10. Mitchell R. G. Objectives and outcome of perinatal care. Lancet. 1985 Oct 26;2(8461):931–934. doi: 10.1016/s0140-6736(85)90860-8. [DOI] [PubMed] [Google Scholar]
  11. Sunderland R., Greenfield A. A. Declining mortality in the immature: medical or biological effect? J Epidemiol Community Health. 1984 Dec;38(4):326–330. doi: 10.1136/jech.38.4.326. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. West R. R. High death rates: more deaths or earlier deaths? J R Coll Physicians Lond. 1987 Jan;21(1):73–76. [PMC free article] [PubMed] [Google Scholar]
  13. Wigglesworth J. S. Monitoring perinatal mortality. A pathophysiological approach. Lancet. 1980 Sep 27;2(8196):684–686. doi: 10.1016/s0140-6736(80)92717-8. [DOI] [PubMed] [Google Scholar]
  14. Zdeb M. S. Differences in trends of postneonatal mortality by birthweight in upstate New York, 1968-1979. Am J Public Health. 1982 Jul;72(7):734–736. doi: 10.2105/ajph.72.7.734. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from The Ulster Medical Journal are provided here courtesy of Ulster Medical Society

RESOURCES