Characteristics of a global classification system for perinatal deaths: a Delphi consensus study

Wojcieszek, Aleena M., Reinebrant, Hanna E., Leisher, Susannah Hopkins, Allanson, Emma, Coory, Michael, Erwich, Jan Jaap, Froen, J. Frederik, Gardosi, Jason, Gordijn, Sanne, Gulmezoglu, Metin, Heazell, Alexander E. P., Korteweg, Fleurisca J., McClure, Elizabeth, Pattinson, Robert, Silver, Robert M., Smith, Gordon, Teoh, Zheyi, Tuncalp, Özge and Flenady, Vicki (2016) Characteristics of a global classification system for perinatal deaths: a Delphi consensus study. BMC Pregnancy and Childbirth, 16 1: . doi:10.1186/s12884-016-0993-x

Author Wojcieszek, Aleena M.
Reinebrant, Hanna E.
Leisher, Susannah Hopkins
Allanson, Emma
Coory, Michael
Erwich, Jan Jaap
Froen, J. Frederik
Gardosi, Jason
Gordijn, Sanne
Gulmezoglu, Metin
Heazell, Alexander E. P.
Korteweg, Fleurisca J.
McClure, Elizabeth
Pattinson, Robert
Silver, Robert M.
Smith, Gordon
Teoh, Zheyi
Tuncalp, Özge
Flenady, Vicki
Title Characteristics of a global classification system for perinatal deaths: a Delphi consensus study
Journal name BMC Pregnancy and Childbirth   Check publisher's open access policy
ISSN 1471-2393
Publication date 2016-08-15
Sub-type Article (original research)
DOI 10.1186/s12884-016-0993-x
Open Access Status DOI
Volume 16
Issue 1
Total pages 11
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Formatted abstract
Background: Despite the global burden of perinatal deaths, there is currently no single, globally-acceptable classification system for perinatal deaths. Instead, multiple, disparate systems are in use world-wide. This inconsistency hinders accurate estimates of causes of death and impedes effective prevention strategies. The World Health Organisation (WHO) is developing a globally-acceptable classification approach for perinatal deaths. To inform this work, we sought to establish a consensus on the important characteristics of such a system.

Methods: A group of international experts in the classification of perinatal deaths were identified and invited to join an expert panel to develop a list of important characteristics of a quality global classification system for perinatal death. A Delphi consensus methodology was used to reach agreement. Three rounds of consultation were undertaken using a purpose built on-line survey. Round one sought suggested characteristics for subsequent scoring and selection in rounds two and three.

Results: The panel of experts agreed on a total of 17 important characteristics for a globally-acceptable perinatal death classification system. Of these, 10 relate to the structural design of the system and 7 relate to the functional aspects and use of the system.

Conclusion: This study serves as formative work towards the development of a globally-acceptable approach for the classification of the causes of perinatal deaths. The list of functional and structural characteristics identified should be taken into consideration when designing and developing such a system.
Keyword Causes of death
Neonatal death
Perinatal death
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

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