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Trends in birth asphyxia,obstetric interventions and perinatal mortality among term singletons: a nationwide cohort study |
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| Authors: | Sabine Ensing Ameen Abu-Hanna Jelle M. Schaaf Ben Willem J. Mol Anita C. J. Ravelli |
| Affiliation: | 1. Department of Obstetrics and Gynaecology and;2. Department of Medical Informatics, Academic Medical Centre, Amsterdam, the Netherlands;3. Department of Medical Informatics, Academic Medical Centre, Amsterdam, the Netherlands;4. Department of Obstetrics and Gynaecology and |
| Abstract: | Objective: The objective of the present study is to investigate trends in birth asphyxia and perinatal mortality in the Netherlands over the last decade. Methods: A nationwide cohort study among women with a term singleton pregnancy. We assessed trends in birth asphyxia in relation to obstetric interventions for fetal distress. Birth asphyxia was defined as a 5-minute Apgar score Results: The prevalence of birth asphyxia was 0.85% and severe asphyxia 0.16%. Between 1999 and 2010 birth asphyxia decreased significantly with approximately 6% (p?=?0.03) and severe asphyxia with 11% (p?=?0.03). There was no significant change in perinatal mortality rate (0.98 per 1000 live births). Simultaneously the referral rate from primary to secondary care during labor increased from 20% to 24% (p?p? Conclusion: In the Netherlands, the risk of birth asphyxia among term singletons has slightly decreased over the last decade; without a significant change in perinatal mortality. |
| Keywords: | Apgar score birth asphyxia fetal distress obstetric interventions perinatal mortality trends |