Mohangoo A D, Buitendijk S E, Hukkelhoven C W P M, Ravelli A C J, Rijninks-van Driel G C, Tamminga P, Nijhuis J G
TNO Kwaliteit van Leven, Preventie en Zorg, sector Voortplanting en Perinatologie, Postbus 2215, 2301 CE Leiden.
Ned Tijdschr Geneeskd. 2008 Dec 13;152(50):2718-27.
Comparison of perinatal mortality in The Netherlands with that in other European countries (Peristat-II), and with data collected 5 years previously (Peristat-I).
Descriptive study.
Indicators ofperinatal mortality which were developed for Peristat-I were used again in Peristat-II. Data on perinatal mortality in 2004 were delivered by 26 European countries. The Dutch data originated from national registers of midwives and gynaecologists and the National Neonatology Register.
In Peristat-I, from 22 weeks gestation, The Netherlands had the highest fetal mortality rate (7.4 per 1,000 total number of births). Furthermore, after Greece, The Netherlands had the highest early neonatal mortality rate (3.5 per 1,000 live births). In Peristat-II from 22 weeks gestation, after France, The Netherlands had the highest fetal mortality rate (7.0 per 1,000 total number of births). Of all western European countries, The Netherlands had the highest early neonatal mortality rate (3.0 per 1,000 live births). Over the past 5 years the perinatal mortality rate in The Netherlands has dropped from 10.9 to 10.0 per 1,000 total births but this drop has been faster in other countries.
The Netherlands has a relatively high number of older mothers and multiple pregnancies, but this only partly explains the high Dutch perinatal mortality rate which still ranks unfavourably in the European tables. More research is necessary to gain insight into the prevalence of risk factors for perinatal mortality compared with other European countries. In addition, perinatal health and the quality ofperinatal healthcare deserve a more prominent position in Dutch research programmes.
比较荷兰与其他欧洲国家的围产期死亡率（围产期统计-II），并与5年前收集的数据（围产期统计-I）进行比较。
描述性研究。
围产期统计-I中制定的围产期死亡率指标在围产期统计-II中再次使用。2004年26个欧洲国家提供了围产期死亡率数据。荷兰的数据源自助产士和妇科医生的国家登记册以及国家新生儿登记册。
在围产期统计-I中，从妊娠22周起，荷兰的胎儿死亡率最高（每1000例总出生数中有7.4例）。此外，仅次于希腊，荷兰的早期新生儿死亡率最高（每1000例活产中有3.5例）。在围产期统计-II中，从妊娠22周起，仅次于法国，荷兰的胎儿死亡率最高（每1000例总出生数中有7.0例）。在所有西欧国家中，荷兰的早期新生儿死亡率最高（每1000例活产中有3.0例）。在过去5年中，荷兰的围产期死亡率从每1000例总出生数中的10.9例降至10.0例，但其他国家下降得更快。
荷兰高龄产妇和多胎妊娠的数量相对较多，但这只是部分解释了荷兰较高的围产期死亡率，其在欧洲排名仍不理想。与其他欧洲国家相比，有必要进行更多研究以深入了解围产期死亡风险因素的流行情况。此外，围产期健康和围产期医疗保健质量在荷兰研究项目中应占据更突出的位置。
