Perinatal deaths in Bursa Province, Turkey: an analysis by applying the International Classification of Diseases-perinatal mortality (ICD-PM) system

Authors : Salih METİN

Pages : 892-897

Doi:10.18621/eurj.1170080

View : 14 | Download : 10

Publication Date : 2022-11-04

Article Type : Research Paper

Abstract :Objectives: The International Classification of Diseases for Perinatal Mortality insert ignore into journalissuearticles values(ICD-PM); system is a globally used classification based on the International Statistical Classification of Diseases and Related Health Problems insert ignore into journalissuearticles values(ICD-10); codes. Moreover, it focuses on the time of death and maternal conditions. Here, we analyzed perinatal deaths by using the ICD-PM system. Methods: This is a retrospective study, performed between January 1, 2020, and March 30, 2022, in Bursa. Perinatal characteristics and the causes of perinatal deaths were recorded. The perinatal deaths were classified according to the ICD-PM system and descriptives were given. Results: The majority of perinatal death cases insert ignore into journalissuearticles values(119 cases); occurred in the antepartum period. The leading cause of antepartum deaths was unspecified causes insert ignore into journalissuearticles values(62.2%); followed by fetal growth disorders insert ignore into journalissuearticles values(9.3%);. A total of 63 insert ignore into journalissuearticles values(53.7%); mothers were healthy insert ignore into journalissuearticles values(M5); while 27 insert ignore into journalissuearticles values(22.7%); mothers had medical or surgical conditions insert ignore into journalissuearticles values(M4);. Acute intrapartum events insert ignore into journalissuearticles values(33.4%); were the commonest cause of intrapartum deaths followed by unspecified causes insert ignore into journalissuearticles values(26.6%);. When neonatal deaths were analyzed, low birth weight/prematurity constitute 59.6% of neonatal deaths. The largest proportion of mothers was healthy in the intrapartum insert ignore into journalissuearticles values(40%); while maternal complications of pregnancy insert ignore into journalissuearticles values(M2); was the most commonest classification for neonatal deaths. Conclusions: ICD-PM is a globally used system for classifying perinatal deaths. The time of perinatal death used in this system provides focus on interventions in perinatal care and it encourages comparison between perinatal care centers. We suggest that we might use resources truly to prevent perinatal deaths in our country by using this system.
Keywords : ICD 10, ICD PM, perinatal death, perinatal mortality