Cole S K, Smalls M
Information and Statistics Division, Scottish Health Service Common Services Agency, Edinburgh.
J Public Health Med. 1990 Feb;12(1):73-80. doi: 10.1093/oxfordjournals.pubmed.a042510.
Infant mortality rates in Scotland have fallen by 56.6 per cent from 19.6 per 1000 live births in 1970 to 8.5 per 1000 in 1987. The reduction has been more marked in the early neonatal period than at later ages. The causes of death, based on generally high post-mortem rates, have been examined in functional groups and the changes over time are described. Ninety per cent of neonatal deaths throughout the period reviewed were due to congenital anomalies, asphyxia or immaturity-associated conditions. Eighty per cent of post-neonatal deaths are now due to congenital anomaly or sudden infant death syndrome (SIDS). The principal shifts in cause of death groups from infections and external causes in the 1970s to SIDS in the 1980s are described in detail and are probably related to improved recognition of the syndrome of sudden infant death, rather than to true changes.
苏格兰的婴儿死亡率已从1970年每1000例活产19.6例降至1987年的每1000例8.5例，降幅达56.6%。早期新生儿期的降幅比后期更为显著。基于普遍较高的尸检率，对死因进行了功能分组研究，并描述了随时间的变化情况。在整个回顾期内，90%的新生儿死亡是由先天性异常、窒息或与不成熟相关的疾病所致。现在，80%的新生儿后期死亡是由先天性异常或婴儿猝死综合征（SIDS）引起的。详细描述了死因分组从20世纪70年代的感染和外部原因到80年代的婴儿猝死综合征的主要转变，这可能与对婴儿猝死综合征的认识提高有关，而非真正的变化。
