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. 2017 Apr 20;96(5):519–528. doi: 10.1111/aogs.13126

Table 1.

Classification systems and the type of information required to assign cause of death and contributing factors

Classification system Complexity Source and type of information required to use classification system
Name/publication title Authors Year of development first publication or use Scope No. of main categories No. of levels Clinical records Full autopsy Histological autopsy Other requirement(s)
Aberdeen classification Baird 1954 Perinatal 8 1 Accurate gestational age or birthweight
Classification of causes of perinatal mortality Bound et al. 1956 Perinatal 11 1
British Perinatal Mortality Survey ‐ First Report Butler and Bonham 1963 Perinatal 9 1
Amended Aberdeen Baird and Thomson 1969 Perinatal 10 2
A clinical classification of the mechanisms of perinatal wastage Low et al. 1970 Perinatal 8 1
Clinical classification of perinatal deaths Knutzen et al. 1975 Perinatal 8 1
Perinatal death: audit and classification Chang et al. 1979 Perinatal 15 3
Wigglesworth Wigglesworth 1980 Perinatal 5 1
Causes of stillbirth: a clinicopathological study of 243 patients Hovatta et al. 1983 Stillbirth 10 2 Serum enzymes assay; oral glucose tolerance test
Classifying perinatal death: fetal and neonatal factors Hey, Lloyd and Wigglesworth 1986 Perinatal 11 2
Extended Wigglesworth CESDI 2001
Perinatally related waste – a proposed classification of primary obstetric factors Whitfield et al. 1986 Perinatal 12 1
Classifying perinatal death: an obstetric approach Cole et al. 1986 Perinatal 10 2 Rhesus compatibility test
International Collaborative Effort (ICE) Cole et al. 1989 Perinatal 8 1
Classification of perinatal death Keeling et al. 1989 Perinatal 5 1 Chromosomal assay
Classification of Primary Cause of Fetal Death Fretts et al. 1992 Stillbirth 10 1
A new hierarchical classification of causes of infant deaths in England and Wales Alberman et al. 1994 Perinatal 9 1
Nordic‐Baltic Langhoff‐Roos et al. 1996 Perinatal 13 1 Accurate gestational age
A computer‐based method of cause of death classification in stillbirths and neonatal deaths Winbo et al. 1997 Perinatal 6 1 Computerized record system
Neonatal and Intrauterine Death Classification according to Etiology (NICE) Winbo et al. 1998 Perinatal 13 1 Computerized record system
Evaluation of 239 cases of perinatal death using a fundamental classification system de Galan‐Roosen et al. 2002 Perinatal 7 2
ICD‐10 WHO 2004
Perinatal Society of Australia and New Zealand – Perinatal Death Classification (PSANZ‐PDC) Chan et al. 2004 Perinatal 11 1
Relevant Condition at Death (ReCoDe) Gardosi et al. 2005 Stillbirth 9 1
Tulip Korteweg et al. 2006 Perinatal 6 2 Chromosomal assay
Stockholm classification of stillbirth Varli et al. 2008 Stillbirth 17 2
National Institute of Child Health and Human Development (NICHHD) Reddy et al. 2009 Stillbirth 15 2
Causes of death and associated conditions (CODAC)/Simplified CODAC Frøen et al. 2009 Perinatal 10 1
Perinatal Society of Australia and New Zealand – Perinatal Death Classification (PSANZ‐PDC) – Version 2.2 PSANZ 2009 Perinatal 11 3
Initial Causes of Fetal Death (INCODE) Dudley et al. 2010 Stillbirth 6 1 Interview with mother/parents
ICD‐PM WHO 2016 Perinatal 3 3

ICD, International Classification of Diseases; MM, deaths during pregnancy, childbirth and the puerperium; PM, perinatal mortality.