Understanding perinatal mortality |
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| Authors: | Satomi TanakaSarah J. Stock Yuka YamamotoJane Kondejewski David M. Olson |
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| Affiliation: | Satomi Tanaka MD is a post-doctoral fellow in the Department of Obstetrics and Gynecology at the University of Alberta, Edmonton, Alberta, Canada. Conflicts of interest: none declared; Sarah J Stock PhD MRCOG is a clinical lecturer and subspecialty trainee in Maternal and Fetal Medicine at the University of Edinburgh Division of Reproductive and Developmental Sciences, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, UK. Conflicts of interest: none declared; Yuka Yamamoto MD PhD is a clinical research fellow in Pediatric Cardiology at University of Alberta, Edmonton, Alberta, Canada. Conflicts of interest: none declared; Jane Kondejewski PhD is a contracted research professional to the AIHS Interdisciplinary Preterm Birth and Healthy Outcomes Team at the University of Alberta, Edmonton, Alberta, Canada. Conflicts of interest: none declared; David M Olson PhD FRCOG is a Professor of Obstetrics and Gynecology, Pediatrics and Physiology and Co-director of the AIHS Interdisciplinary Preterm Birth and Healthy Outcomes Team at the University of Alberta, Edmonton, Alberta, Canada. Conflicts of interest: none declared |
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| Abstract: | Various assessments of health are used to promote comprehensive, formulated worldwide policies for improvement of delivery of care. Perinatal mortality is one measure of global perinatal health. In this review, we clarify the definition of perinatal mortality and discuss the recent trends, backgrounds, contributing factors, and practical management strategies. The wide differences in perinatal mortality between developing and developed countries are well recognized. Of equal concern are the potentially avoidable perinatal deaths that occur in developed countries; the varying perinatal mortality rates between developed countries indicate that they are not yet at an irreducible minimum. To that effect, international health policies should include the unique circumstances of developed countries, and effective practices should be better shared amongst developed countries. The international goal for improving the perinatal mortality rate, in addition to improving public health and access to good care for all pregnant women, is to develop a unified and multifaceted approach as considerably more can be achieved. |
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| Keywords: | early neonatal maternal mortality neonatal perinatal stillbirth |
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