Olsen S F, Samuelsen S, Joensen H D
Environmental Epidemiology Unit, London School of Hygiene and Tropical Medicine.
Br J Obstet Gynaecol. 1995 May;102(5):389-92. doi: 10.1111/j.1471-0528.1995.tb11291.x.
To highlight the causes of perinatal mortality in the Faroe Islands where perimortality is high according to Nordic standards.
Two systems were employed to classify perinatal deaths on the basis of clinico-pathological findings, one focusing on obstetrical factors and the other on fetal-neonatal factors.
Faroe Islands. Data from Iceland were used for comparison since the two communities have many similarities, including similar birthweight distributions.
Birth and death certificates and medical and midwife files were recovered for 98 of the 102 officially recorded perinatal deaths in the Faroes during 1977-1986. Icelandic data for 1976-1985 were available in the literature.
The perinatal mortality rate was 13.7 per 1000 births. Obstetric factors were classified as unexplained, congenital anomaly, antepartum haemorrhage, pre-eclampsia, mechanical causes, and maternal disorders and accounted for 43%, 18%, 15%, 11%, 6% and 6% of the 98 cases, respectively. Fetal-neonatal factors were classified as antepartum asphyxia, congenital anomaly, intrapartum asphyxia, hyaline membrane disease, pulmonary immaturity, and other causes, and these factors accounted for 43%, 18%, 15%, 9%, 5%, and 8%, respectively. The excess perinatal mortality rate of 4.1 cases per 1000 births in the Faroes, relative to Iceland, could mainly be attributed to an excess of 2.9 cases per 1000 births in the group classified as unexplained, as defined according to the obstetrics classification.
No well defined cause was particularly common in the Faroes or could account for the excess perinatal mortality rate in the Faroes relative to Iceland.
鉴于法罗群岛的围产期死亡率高于北欧标准，本研究旨在突出其围产期死亡的原因。
采用两种系统，根据临床病理结果对围产期死亡进行分类，一种侧重于产科因素，另一种侧重于胎儿-新生儿因素。
法罗群岛。由于法罗群岛和冰岛这两个群体有许多相似之处，包括相似的出生体重分布，因此使用冰岛的数据进行比较。
1977年至1986年法罗群岛官方记录的102例围产期死亡病例中，98例的出生和死亡证明以及医疗和助产士档案被找回。1976年至1985年冰岛的数据可从文献中获取。
围产期死亡率为每1000例出生13.7例。产科因素分为不明原因、先天性异常、产前出血、先兆子痫、机械性原因和母体疾病，在98例病例中分别占43%、18%、15%、11%、6%和6%。胎儿-新生儿因素分为产前窒息、先天性异常、产时窒息、透明膜病、肺不成熟和其他原因，这些因素分别占43%、18%、15%、9%、5%和8%。与冰岛相比，法罗群岛每1000例出生中围产期死亡率高出4.1例，这主要归因于按照产科分类定义的不明原因组中每1000例出生多出2.9例。
在法罗群岛，没有明确界定的原因特别常见，也无法解释法罗群岛相对于冰岛的围产期死亡率过高的现象。
