Tzoumaka-Bakoula C, Lekea-Karanika V, Matsaniotis N S, McCarthy B J, Golding J
First Department of Paediatrics, Athens University, Hospital for Sick Children Aghia Sophia, Greece.
Acta Paediatr Scand. 1990 Jan;79(1):47-51. doi: 10.1111/j.1651-2227.1990.tb11329.x.
Data from the Greek Perinatal Study in April 1983 revealed an excessively high perinatal mortality rate of 21.6 per 1,000 total births among singletons despite a low birthweight rate of only 4.5%. Comparison of perinatal mortality rates with Danish mortality rates in 1983, revealed the Greek rates to be three times higher than those in Denmark. When divided by time of death, the Greek stillbirth rates were two times higher and the early neonatal mortality rates were four times higher than the corresponding Danish rates. Subdivision of the Greek perinatal deaths using the Wigglesworth classification showed that the biggest group (40%) consisted of deaths associated with intrapartum asphyxia. The incidence of such deaths was 10 times higher than that found in Denmark. We conclude that in reducing the excessively high perinatal mortality rate in Greece special attention should be made to improve intrapartum and resuscitation techniques.
