Ashley D, McCaw-Binns A, Golding J, Keeling J, Escoffery C, Coard K, Foster-Williams K
Ministry of Health, Kingston, Jamaica.
Paediatr Perinat Epidemiol. 1994 Apr;8 Suppl 1:6-16. doi: 10.1111/j.1365-3016.1994.tb00488.x.
The Jamaican Perinatal Mortality Survey was designed to identify the true perinatal mortality rate, and assess the factors which could contribute towards a reduction in perinatal mortality on the island. All births in a 2-month period (n = 10527) were compared with all perinatal deaths occurring over a 12-month period (n = 2069). Over half the deaths (n = 1058) received a detailed post-mortem examination. Use of the Wigglesworth classification identifies the major component of perinatal death in this country to be associated with intrapartum asphyxia (44% of deaths). Deaths due to congenital malformations and miscellaneous causes contribute relatively little (< 10%) to the overall mortality rate. Over a quarter of deaths apparently occur before the onset of labour, and a fifth are prematurely liveborn but die of causes related to immaturity.
牙买加围产期死亡率调查旨在确定真实的围产期死亡率，并评估有助于降低该岛围产期死亡率的因素。将两个月内的所有分娩（n = 10527）与12个月内发生的所有围产期死亡（n = 2069）进行比较。超过一半的死亡病例（n = 1058）接受了详细的尸检。使用威格尔斯沃思分类法确定该国围产期死亡的主要组成部分与产时窒息有关（占死亡病例的44%）。先天性畸形和其他原因导致的死亡对总死亡率的贡献相对较小（<10%）。超过四分之一的死亡显然发生在分娩开始之前，五分之一是早产活产但死于与不成熟相关的原因。
