Broeders Lisa, Achterberg Peter W, Waelput Adja J M, Ravelli Anita C J, Kwee Anneke, Groenendaal Floris, Offerhaus Pien, van der Velden Koos, Rosman Ageeth N, Nijhuis Jan G
Perined, Utrecht.
Rijksinstituut voor Volksgezondheid en Milieu, Bilthoven.
Ned Tijdschr Geneeskd. 2019 Jul 23;163:D3667.
To compare changes in foetal, neonatal and perinatal mortality in the Netherlands in 2015, relative to 2004 and 2010, with changes in other European countries and regions.
Descriptive population-wide study.
Data from 32 European countries and regions within the Euro-Peristat registration area were analysed. These countries and regions were grouped into: the Netherlands, Scandinavia, Western Europe and Eastern Europe. International differences in registration and policies were taken into account by using rates from 28 weeks gestation for foetal mortality and for 24 weeks gestation and beyond for neonatal mortality. Ranking was based on individual countries and regions.
Foetal mortality decreased by 24% in the Netherlands, from 2.9 per 1,000 births in 2010 to 2.2 per 1,000 births in 2015; neonatal mortality decreased by 9%, from 2.2 to 2.0 per 1,000 live births. Perinatal mortality (the sum of foetal mortality and neonatal mortality) decreased by 18% from 5.1 to 4.2 per 1,000 births. The Netherlands moved from the 18th place in the European ranking in 2004 to the 10th place in 2015.
Foetal, neonatal and perinatal mortality in the Netherlands decreased in 2015 when compared with 2004 and 2010. The country's position in the European ranking also improved. Explanations for this decrease are related to changes in the areas of organisation of care, population and risk factors. When mortality rates in other European countries and regions - particularly Scandinavia - are considered there is room for further improvement.
比较2015年荷兰胎儿、新生儿及围产期死亡率相对于2004年和2010年的变化情况，以及与其他欧洲国家和地区的变化情况。
描述性全人群研究。
分析了欧洲围产统计登记区域内32个欧洲国家和地区的数据。这些国家和地区被分为：荷兰、斯堪的纳维亚地区、西欧和东欧。通过使用孕28周时的胎儿死亡率以及孕24周及以后的新生儿死亡率来考虑登记和政策方面的国际差异。排名基于各个国家和地区。
荷兰的胎儿死亡率下降了24%，从2010年的每1000例出生2.9例降至2015年的每1000例出生2.2例；新生儿死亡率下降了9%，从每1000例活产2.2例降至2.0例。围产期死亡率（胎儿死亡率与新生儿死亡率之和）从每1000例出生5.1例降至4.2例，下降了18%。荷兰在欧洲排名中从2004年的第18位升至2015年的第10位。
与2004年和2010年相比，2015年荷兰的胎儿、新生儿及围产期死亡率有所下降。该国在欧洲排名中的位置也有所改善。死亡率下降的原因与护理组织、人口和风险因素等方面的变化有关。当考虑其他欧洲国家和地区——尤其是斯堪的纳维亚地区——的死亡率时，仍有进一步改善的空间。
