King James F, Warren Rosemary A
Department of Perinatal Medicine, Royal Women's Hospital, Carlton, Victoria 3053, Australia.
Semin Fetal Neonatal Med. 2006 Apr;11(2):79-87. doi: 10.1016/j.siny.2005.11.008. Epub 2006 Jan 9.
Systematic audit of stillbirths and neonatal deaths at an institutional and regional level is the first step in the descriptive epidemiology of perinatal mortality and a necessary means for identifying the causes of such deaths. Uniform classification systems within an organizational jurisdiction enable the identification of the major contributing categories, facilitate analysis, and enable consideration of possible interventions and strategies for prevention. This paper describes the application of the classification systems recently developed by the Perinatal Society of Australia and New Zealand (PSANZ), as part of a perinatal audit package, to a cohort of 3485 perinatal deaths in Victoria over a 5-year period, 2000-2004. There are many other perinatal mortality audit systems in place in other jurisdictions, designed to produce the same result, i.e. a better understanding of the causes of perinatal mortality and the possibilities for prevention.
在机构和地区层面系统审核死产和新生儿死亡情况，是围产期死亡率描述性流行病学的第一步，也是确定此类死亡原因的必要手段。组织管辖范围内统一的分类系统有助于识别主要促成类别、便于分析，并能考虑可能的干预措施和预防策略。本文描述了澳大利亚和新西兰围产期协会（PSANZ）最近开发的分类系统作为围产期审核套餐的一部分，应用于2000年至2004年维多利亚州3485例围产期死亡病例队列的情况。其他司法管辖区也有许多其他围产期死亡率审核系统，旨在产生相同的结果，即更好地了解围产期死亡原因和预防可能性。
