Mohangoo Ashna D, Hukkelhoven Chantal W P M, Achterberg Peter W, Elferink-Stinkens Patty M, Ravelli Anita C J, Rijninks-van Driel Greta C, Tamminga Pieter, Waelput Adja J M, van der Pal-de Bruin Karin M, Nijhuis Jan G
TNO Gezond Leven, afd. Jeugd, Leiden.
Ned Tijdschr Geneeskd. 2014;158:A6675.
To compare the change in foetal and neonatal mortality in the Netherlands between 2004 and 2010 with the change in other European countries.
Descriptive, population-based study.
Data from the Euro-Peristat project on foetal and neonatal mortality in European countries were analysed for changes between 2004 and 2010. The Netherlands was compared with 26 other European countries and regions. International differences in registration and policy were taken into account using figures on foetal mortality starting at 28 weeks of pregnancy and neonatal mortality starting at 24 weeks of pregnancy.
Foetal mortality in the Netherlands declined by 33%, from 4.3 per 1000 births in 2004 to 2.9 per 1000 births in 2010 while neonatal mortality declined by 21%, from 2.8 per 1000 live births in 2004 to 2.2 per 1000 live births in 2010. Perinatal mortality (the sum of foetal mortality and neonatal mortality) declined by 27%, from 7.0 to 5.1 per 1000. In the European ranking, the Netherlands shifted from 23rd to 13th place for foetal mortality; it remained the same for neonatal mortality (15th of 22 countries) and virtually the same for perinatal mortality (from 15th to 13th of 22 countries).
Both foetal mortality at 28+ weeks and neonatal mortality at 24+ weeks declined in the Netherlands between 2004 and 2010. However, the relatively unfavourable position of the Netherlands in the European ranking for foetal and neonatal mortality improved only for foetal mortality. In that respect, the Netherlands holds an average position.
比较2004年至2010年荷兰胎儿及新生儿死亡率的变化与其他欧洲国家的变化情况。
基于人群的描述性研究。
分析欧洲围产期统计项目中欧洲国家胎儿及新生儿死亡率在2004年至2010年期间的变化情况。将荷兰与其他26个欧洲国家及地区进行比较。利用妊娠28周起的胎儿死亡率数据及妊娠24周起的新生儿死亡率数据，考虑登记和政策方面的国际差异。
荷兰的胎儿死亡率下降了33%，从2004年的每1000例出生4.3例降至2010年的每1000例出生2.9例；新生儿死亡率下降了21%，从2004年的每1000例活产2.8例降至2 / 2010年的每1000例活产2.2例。围产期死亡率（胎儿死亡率与新生儿死亡率之和）下降了27%，从每1000例7.0例降至5.1例。在欧洲排名中，荷兰的胎儿死亡率从第23位升至第13位；新生儿死亡率保持不变（22个国家中的第15位），围产期死亡率几乎不变（从22个国家中的第15位升至第13位）。
2004年至2010年期间，荷兰妊娠28周及以上的胎儿死亡率和妊娠24周及以上的新生儿死亡率均有所下降。然而，荷兰在欧洲胎儿及新生儿死亡率排名中的相对不利地位仅在胎儿死亡率方面有所改善。在这方面，荷兰处于平均水平。
