Perinatal death beyond 41 weeks pregnancy: An evaluation of causes and substandard care factors as identified in perinatal audit in the Netherlands
BMC Pregnancy and Childbirth Sep 26, 2018
Kortekaas JC, et al. - Given that late- and post-term pregnancy are associated with poor perinatal outcomes (eg, perinatal death), researchers used data from the Perinatal Audit Registry of the Netherlands (PARS) to assess causes of death and substandard care factors (SSFs) in term and post-term perinatal death. They stratified women with a term perinatal death by gestational age into early-/full-term (37.0–40.6) and late-/post-term (≥ 41.0 weeks) death. In pregnancies ≥ 41 weeks vs pregnancies at 37.0–40.6 weeks, stillbirths were reported relatively less frequently antepartum and more often intrapartum. In pregnancies ≥ 41 weeks, cause of death was more frequently attributed to fetal, intrapartum, and neonatal asphyxia. Further, the most identified SSFs associated with death in pregnancies ≥ 41 weeks concerned inadequate cardiotocography monitoring (evaluation, classification, registration or documentation) and inadequate action on decreased fetal movements.
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