Pregnancy Loss Research Group, Department of Obstetrics and Gynaecology, University College Cork, Cork, Ireland.
Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, 5th Floor, Wilton, Cork, Ireland.
BMC Pregnancy Childbirth. 2018 Jan 4;18(1):9. doi: 10.1186/s12884-017-1636-6.
Intrapartum fetal death, the death of a fetus during labour, is a tragic outcome of pregnancy. The intrapartum death rate of a country is reflective of the care received by mothers and babies in labour and it is through analysing these cases that good aspects of care, as well as areas for improvement can be identified. Investigating unexpected neonatal deaths that may be associated with an intrapartum event is also helpful to fully appraise intrapartum care. This is a descriptive study of intrapartum fetal deaths and unexpected neonatal deaths in Ireland from 2011 to 2014.
Anonymised data pertaining to all intrapartum fetal deaths and unexpected neonatal deaths for the study time period was obtained from the national perinatal epidemiology centre. All statistical analyses were conducted using Statistical package for the Social Sciences (SPSS).
There were 81 intrapartum fetal deaths from 2011 to 2014, and 36 unexpected neonatal deaths from 2012 to 2014. The overall intrapartum death rate was 0.29 per 1000 births and the corrected intrapartum fetal death rate was 0.16 per 1000 births. The overall unexpected neonatal death rate was 0.17 per 1000 live births. Major Congenital Malformation accounted for 36/81 intrapartum deaths, chorioamnionitis for 18/81, and placental abruption accounted for eight babies' deaths. Intrapartum asphyxia accounted for eight of the intrapartum deaths. With respect to the neonatal deaths over half (21/36, 58.3%) of the babies died as a result of hypoxic ischaemic encephalopathy. Information is also reported on both maternal and individual baby demographics.
This is the first detailed descriptive analysis of intrapartum deaths and unexpected intrapartum event related neonatal deaths in Ireland. The corrected intrapartum fetal death rate was 0.16 per 1000 births. Despite our results being based on the best available national data on intrapartum deaths and unexpected neonatal deaths, we were unable to identify if any of these deaths could have been prevented. A more formal confidential inquiry based system is necessary to fully appraise these cases.
产时胎儿死亡，即分娩过程中胎儿死亡，是妊娠的一种悲惨结局。一个国家的产时死亡率反映了产妇和婴儿在分娩过程中所接受的护理水平，通过分析这些病例，可以确定护理的优点和需要改进的领域。调查可能与产时事件相关的意外新生儿死亡，也有助于全面评估产时护理。这是一项对 2011 年至 2014 年爱尔兰产时胎儿死亡和意外新生儿死亡的描述性研究。
从国家围产期流行病学中心获得了研究期间所有产时胎儿死亡和意外新生儿死亡的匿名数据。所有统计分析均使用社会科学统计软件包（SPSS）进行。
2011 年至 2014 年期间，共有 81 例产时胎儿死亡，2012 年至 2014 年期间，共有 36 例意外新生儿死亡。总产时死亡率为 0.29/1000 例，校正后的产时胎儿死亡率为 0.16/1000 例。总意外新生儿死亡率为 0.17/1000 例活产儿。主要先天畸形占 81 例产时死亡中的 36 例，绒毛膜羊膜炎占 18 例，胎盘早剥占 8 例。产时窒息导致 8 例产时死亡。关于新生儿死亡，超过一半（21/36，58.3%）的婴儿死于缺氧缺血性脑病。还报告了母婴和个别婴儿的人口统计学信息。
这是爱尔兰首次对产时死亡和意外产时事件相关新生儿死亡进行的详细描述性分析。校正后的产时胎儿死亡率为 0.16/1000 例。尽管我们的结果基于产时死亡和意外新生儿死亡的最佳国家数据，但我们无法确定这些死亡是否可以预防。需要建立一个更正式的机密调查制度，以全面评估这些病例。
