Objective To highlight the causes of perinatal mortality in the Faroe Islands where perimortality is high according to Nordic standards.
Design Two systems were employed to classify perinatal deaths on the basis of clinico-pathological findings, one focusing on obstetrical factors and the other on fetal-neonatal factors.
Setting Faroe Islands.
Data from Iceland were used for comparison since the two communities have many similarities, including similar birthweight distributions.
Subjects Birth and death certificates and medical and midwife files were recovered for 98 of the 102 officially recorded perinatal deaths in the Faroes during 1977-1986.
Icelandic data for 1976-1985 were available in the literature.
Results The perinatal mortality rate was 13.7 per 1000 births.
Obstetric factors were classified as unexplained, congenital anomaly, antepartum haemorrhage, pre-eclampsia, mechanical causes, and maternal disorders and accounted for 43%, 18%, 15%, 11%, 6%, and 6% of the 98 cases, respectively.
The excess perinatal mortality rate of 4-1 cases per 1000 births in the Faroes, relative to Iceland, could mainly be attributed to an excess of 2-9 cases per 1000 births in the group classified as unexplained, as defined according to the obstetrics classification.
Conclusions No well defined cause was particularly common in the Faroes or could account for the excess perinatal mortality rate in the Faroes relative to Iceland.
Mots-clés Pascal : Classification, Clinique, Mortalité, Périnatal, Etiologie, Nouveau né pathologie, Etude comparative, Politique sanitaire, Nouveau né, Homme, Feroe, Iles Atlantiques, Islande
Mots-clés Pascal anglais : Classification, Clinic, Mortality, Perinatal, Etiology, Newborn diseases, Comparative study, Health policy, Newborn, Human, Faeroe Islands, Atlantic Ocean Islands, Iceland
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0375165
Code Inist : 002B20G03. Création : 01/03/1996.