Lydon-Rochelle Mona T, Cárdenas Vicky, Nelson Jennifer L, Tomashek Kay M, Mueller Beth A, Easterling Thomas R
Department of Family and Child Nursing, School of Nursing, University of Washington, Seattle 98195-7262, USA.
Am J Public Health. 2005 Nov;95(11):1948-51. doi: 10.2105/AJPH.2004.044305. Epub 2005 Sep 29.
We sought to estimate the accuracy, relative to maternal medical records, of perinatal risk factors recorded on fetal death certificates. We conducted a validation study of fetal death certificates among women who experienced fetal deaths between 1996 and 2001. The number of previous births, established diabetes, chronic hypertension, maternal fever, performance of autopsy, anencephaly, and Down syndrome had very high accuracy, while placental cord conditions and other chromosomal abnormalities were reported inaccurately. Additional population-based studies are needed to identify strategies to improve fetal death certificate data.
我们试图评估相对于母亲医疗记录而言,胎儿死亡证明上记录的围产期危险因素的准确性。我们对1996年至2001年间经历胎儿死亡的妇女的胎儿死亡证明进行了一项验证研究。既往分娩次数、确诊糖尿病、慢性高血压、母亲发热、尸检情况、无脑儿和唐氏综合征的记录准确性非常高,而胎盘脐带情况和其他染色体异常的报告不准确。需要开展更多基于人群的研究,以确定改善胎儿死亡证明数据的策略。