The WHO application of ICD-10 to deaths during the perinatal period (ICD-PM): results from pilot database testing in South Africa and United Kingdom

Allanson, E. R., Tuncalp, O., Gardosi, J., Pattinson, R. C., Francis, A., Vogel, J. P., Erwich, J. J. H. M., Flenady, V. J., Froen, J. F., Neilson, J., Quach, A., Chou, D., Mathai, M., Say, L. and Gulmezoglu, A. M. (2016) The WHO application of ICD-10 to deaths during the perinatal period (ICD-PM): results from pilot database testing in South Africa and United Kingdom. BJOG: An International Journal of Obstetrics and Gynaecology, 123 12: 2019-2028. doi:10.1111/1471-0528.14244


Author Allanson, E. R.
Tuncalp, O.
Gardosi, J.
Pattinson, R. C.
Francis, A.
Vogel, J. P.
Erwich, J. J. H. M.
Flenady, V. J.
Froen, J. F.
Neilson, J.
Quach, A.
Chou, D.
Mathai, M.
Say, L.
Gulmezoglu, A. M.
Title The WHO application of ICD-10 to deaths during the perinatal period (ICD-PM): results from pilot database testing in South Africa and United Kingdom
Journal name BJOG: An International Journal of Obstetrics and Gynaecology   Check publisher's open access policy
ISSN 1471-0528
1470-0328
Publication date 2016-11-01
Sub-type Article (original research)
DOI 10.1111/1471-0528.14244
Open Access Status Not yet assessed
Volume 123
Issue 12
Start page 2019
End page 2028
Total pages 10
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2017
Language eng
Formatted abstract
Objective: To apply the World Health Organization (WHO) Application of the International Classification of Diseases, tenth revision (ICD-10) to deaths during the perinatal period: ICD-Perinatal Mortality (ICD-PM) to existing perinatal death databases.

Design: Retrospective application of ICD-PM.

Setting: South Africa, UK.

Population: Perinatal death databases.

Methods: Deaths were grouped according to timing of death and then by the ICD-PM cause of death. The main maternal condition at the time of perinatal death was assigned to each case.

Main outcome measures: Causes of perinatal mortality, associated maternal conditions.

Results: In South Africa 344/689 (50%) deaths occurred antepartum, 11% (n = 74) intrapartum and 39% (n = 271) in the early neonatal period. In the UK 4377/9067 (48.3%) deaths occurred antepartum, with 457 (5%) intrapartum and 4233 (46.7%) in the neonatal period. Antepartum deaths were due to unspecified causes (59%), chromosomal abnormalities (21%) or problems related to fetal growth (14%). Intrapartum deaths followed acute intrapartum events (69%); neonatal deaths followed consequences of low birthweight/ prematurity (31%), chromosomal abnormalities (26%), or unspecified causes in healthy mothers (25%). Mothers were often healthy; 53%, 38% and 45% in the antepartum, intrapartum and neonatal death groups, respectively. Where there was a maternal condition, it was most often maternal medical conditions, and complications of placenta, cord and membranes.

Conclusions: The ICD-PM can be a globally applicable perinatal death classification system that emphasises the need for a focus on the mother—baby dyad as we move beyond 2015. Tweetable abstract: ICD-PM is a global system that classifies perinatal deaths and links them to maternal conditions.
Keyword Classification
Global
International Classification of Diseases
Monitoring
Perinatal death
Stillbirth
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Research Institute-UQ (MRI-UQ)
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