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1. Perinatal Mortality Guideline

Perinatal Mortality Guideline Perinatal Services BC Perinatal Mortality Guideline Table of Contents 1. THE PERINATAL MORTALITY REVIEW PROCESS . . . . . . . . . . . . 2 2. INVESTIGATION OF PERINATAL DEATHS . . . . . . . . . . . . . . . . . 3 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Classification of Perinatal Deaths and Use of the Perinatal Mortality Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3. INVESTIGATION AND ASSESSMENT (...) Photographs in Stillbirth . . . . . . . . . . . . . . . . . . . . . . 19 Imaging Studies in Stillbirth . . . . . . . . . . . . . . . . . . . . . . . . . 19 Cytogenetic Studies in Stillbirth Investigation . . . . . . . . . . . . . . 20 4. PATHOLOGICAL EXAMINATION OF THE PLACENTA . . . . . . . . . 21 5. MATERNAL MORTALITY REVIEW . . . . . . . . . . . . . . . . . . . . . 23 6. PERINATAL MORTALITY REVIEW COMMITTEE: TERMS OF REFERENCE . . . . . . . . . . . . . . . . . . . . . . . . . . 24 REFERENCES

2017 British Columbia Perinatal Health Program

2. Perinatal Mortality Form

Perinatal Mortality Form Perinatal Services BC March 2017 PAGE 1 OF 2 Mother’s Surname Baby’s Surname Institution Name Chart Number ? Baby ? Mother PHN ? Baby ? Mother Date of Birth Gestational Age If Multiple, delivery sequence of ? Male ? Female ? Ambiguous Autopsy: ? Full ? Partial ? No Autopsy Part I. Group Classification Group 1 Group 2 Group 3 Group 4 (see back of form) ? A ? A ? A ? A ? B ? B ? B ? C Evidence of Asphyxia: ? Yes ? No ? Unknown Part II. Cause(s) of Death (a) Primary Cause (...) . ? Ideally Preventable Comments Name (print) Signature Date Place of Review British Columbia Perinatal Mortality Form Directions for use: ? ? This form is designed for use by Committees performing Perinatal Mortality Reviews. ? ? Definitions for Group Classification (Part I) and Preventability (Part IV) are on reverse of form. ? ? The form may be photocopied. ? ? One form should be completed for each perinatal mortality case.Perinatal Services BC March 2017 PAGE 2 OF 2 DEFINITIONS Part I. Group

2017 British Columbia Perinatal Health Program

3. Systematic review with meta-analysis: Pregnancy in women with sickle cell disease is associated with risk of maternal and perinatal mortality and severe morbidity

Systematic review with meta-analysis: Pregnancy in women with sickle cell disease is associated with risk of maternal and perinatal mortality and severe morbidity Pregnancy in women with sickle cell disease is associated with risk of maternal and perinatal mortality and severe morbidity | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use (...) cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Pregnancy in women with sickle cell disease is associated with risk of maternal and perinatal mortality

2017 Evidence-Based Nursing

4. Increasing women’s access to skilled pregnancy care to reduce maternal and perinatal mortality in rural Edo State, Nigeria: a randomized controlled trial (PubMed)

Increasing women’s access to skilled pregnancy care to reduce maternal and perinatal mortality in rural Edo State, Nigeria: a randomized controlled trial Nigeria presently has the second highest absolute number of maternal deaths and perinatal deaths (stillbirth and neonatal deaths) in the world. The country accounts for up to 14% of global maternal deaths and is second only to India in the number of women who die during childbirth. Although all parts of the country are worsened (...) will be carried out at baseline, at midterm and at end of the project to test the effectiveness of the intervention, alongside conventional epidemiological measures of maternal and perinatal mortality. Ethical approval for the study has been granted (reference no. NHREC/01/01/2007). The findings will be published in compliance with reporting guidelines for randomized controlled trials.The current Federal Government in Nigeria has identified PHC as its main strategy for increasing access to health in Nigeria

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2018 Global health research and policy

5. Provider-initiated delivery, late preterm birth and perinatal mortality: a secondary analysis of the WHO multicountry survey on maternal and newborn health (PubMed)

Provider-initiated delivery, late preterm birth and perinatal mortality: a secondary analysis of the WHO multicountry survey on maternal and newborn health In high-income countries, a reduced clinical threshold for obstetric interventions such as labour induction (LI) and prelabour caesarean delivery (PLCD) has played a substantial role in increasing rates of late preterm births. However, the association between provider-initiated delivery and perinatal outcomes have not been studied (...) ) and non-significantly with late preterm birth (1.04 (0.98, 1.10)) regardless of country development. LI rates were positively associated with late preterm birth (1.04 (1.01, 1.06)) regardless of country development and with perinatal death (1.06 (0.98, 1.15)) only in middle-HDI and low- HDI countries.PLCD was associated with reduced perinatal mortality and non-significantly with increased late preterm birth. LI was associated with increases in both late preterm birth and, in less-developed countries

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2017 BMJ global health

6. The magnitude and trends of perinatal mortality and its relationship with interpregnancy interval in Ethiopia: systematic review and meta-analysis

The magnitude and trends of perinatal mortality and its relationship with interpregnancy interval in Ethiopia: systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2019 PROSPERO

7. Investigating fetal and maternal factors for perinatal mortality in India: a systematic review and meta-analysis

Investigating fetal and maternal factors for perinatal mortality in India: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated

2019 PROSPERO

8. Intrapartum use of Doppler device for reducing or measuring perinatal mortality in the health facility setting in low to middle income countries (LMIC): a systematic review

Intrapartum use of Doppler device for reducing or measuring perinatal mortality in the health facility setting in low to middle income countries (LMIC): a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability

2019 PROSPERO

9. Systematic review and meta-analysis: Elective induction of labour is associated with decreased perinatal mortality and lower odds of caesarean section at 40 and 41?weeks

Systematic review and meta-analysis: Elective induction of labour is associated with decreased perinatal mortality and lower odds of caesarean section at 40 and 41?weeks Elective induction of labour is associated with decreased perinatal mortality and lower odds of caesarean section at 40 and 41 weeks | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn (...) more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Elective induction of labour is associated with decreased perinatal mortality

2014 Evidence-Based Medicine (Requires free registration)

10. Cohort study: Elective induction of labour is associated with decreased perinatal mortality and lower odds of caesarean section at 40 and 41?weeks

Cohort study: Elective induction of labour is associated with decreased perinatal mortality and lower odds of caesarean section at 40 and 41?weeks Elective induction of labour is associated with decreased perinatal mortality and lower odds of caesarean section at 40 and 41 weeks | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use (...) cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Elective induction of labour is associated with decreased perinatal mortality and lower odds of caesarean

2013 Evidence-Based Medicine (Requires free registration)

11. Systematic review: Reducing the number of antenatal care visits in low-risk pregnancies increases perinatal mortality in low- and middle-income countries; women in all settings prefer the standard visit schedule

Systematic review: Reducing the number of antenatal care visits in low-risk pregnancies increases perinatal mortality in low- and middle-income countries; women in all settings prefer the standard visit schedule Reducing the number of antenatal care visits in low-risk pregnancies increases perinatal mortality in low- and middle-income countries; women in all settings prefer the standard visit schedule | Evidence-Based Nursing We use cookies to improve our service and to tailor our content (...) are here Reducing the number of antenatal care visits in low-risk pregnancies increases perinatal mortality in low- and middle-income countries; women in all settings prefer the standard visit schedule Article Text Midwifery Systematic review Reducing the number of antenatal care visits in low-risk pregnancies increases perinatal mortality in low- and middle-income countries; women in all settings prefer the standard visit schedule Adejoke B Ayoola Statistics from Altmetric.com Commentary on: Dowswell

2011 Evidence-Based Nursing

12. Perinatal mortality and other severe adverse pregnancy outomes associated with treatment of cervical intraepithelial neoplasia: meta-analysis

Perinatal mortality and other severe adverse pregnancy outomes associated with treatment of cervical intraepithelial neoplasia: meta-analysis Perinatal mortality and other severe adverse pregnancy outomes associated with treatment of cervical intraepithelial neoplasia: meta-analysis Perinatal mortality and other severe adverse pregnancy outomes associated with treatment of cervical intraepithelial neoplasia: meta-analysis Arbyn M, Kyrgiou M, Simoens C, Raifu A O, Koliopoulos G, Martin-Hirsch P (...) , Prendiville W, Paraskevaidis E CRD summary This review evaluated perinatal mortality, preterm delivery and low birth weight associated with previous treatment for precursors of cervical cancer. Cold knife conisation and probably laser conisation and radical diathermy were associated with increased risk of perinatal mortality and other serious outcomes. Due to methodological and reporting weaknesses these conclusions may not be reliable. Authors' objectives To evaluate the relative risk of perinatal

2008 DARE.

13. Biochemical tests of placental function versus ultrasound assessment of fetal size for stillbirth and small-for-gestational-age infants. (PubMed)

is associated with the likelihood of FGR; 30% of infants with a birthweight < 10th centile are thought to be FGR, while 70% of infants with a birthweight < 3rd centile are thought to be FGR. Critically, SGA is the most significant antenatal risk factor for a stillborn infant. Correct identification of SGA infants is associated with a reduction in the perinatal mortality rate. However, currently used tests, such as measurement of symphysis-fundal height, have a low reported sensitivity and specificity

2019 Cochrane

14. Trial of Labour After Caesarean

, information concerning the circumstances of the previous delivery is helpful in determining the likelihood of a low transverse incision. If the likelihood of a lower transverse incision is high, trial of labour after Caesarean can be offered (II-2B). 22 Women planning a trial of labour after Caesarean should be advised that the relative risk of perinatal mortality and serious morbidity is higher with trial of labour after Caesarean compared to elective repeat Caesarean section, but the absolute risk

2019 Society of Obstetricians and Gynaecologists of Canada

15. Care of Women Presenting with Suspected Preterm Prelabour Rupture of Membranes from 24+0 Weeks of Gestation

that the use of antibiotics is associated with a statistically significant reduction in chorioamnionitis (RR 0.66, 95% CI 0.46–0.96). There was a significant reduction in the numbers of babies born within 48 hours (RR 0.71, 95% CI 0.58–0.87) and 7 days (RR 0.79, 95% CI 0.71–0.89). Neonatal infection, use of surfactant, oxygen therapy and abnormal cerebral ultrasound prior to discharge from hospital was also reduced. There was no significant reduction in perinatal mortality or on the health of the children (...) that the administration of corticosteroids to women with PPROM reduces the risks of respiratory distress syndrome (RR 0.81, 95% CI 0.67–0.98) and intraventricular haemorrhage (RR 0.49, 95% CI 0.25–0.96). No difference was observed between steroid and control groups concerning the risk for necrotising enterocolitis, neonatal sepsis and Apgar score of less than 7 at 5 minutes. Perinatal mortality was similar between steroid and control groups. A meta‐analysis of observational studies suggest no increased risk

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2019 Royal College of Obstetricians and Gynaecologists

16. Planned birth at or near term for improving health outcomes for pregnant women with gestational diabetes and their infants. (PubMed)

diabetes (Type 1 or Type 2).To assess the effect of planned birth (either by induction of labour or caesarean birth), at or near term (37 to 40 weeks' gestation) compared with an expectant approach for improving health outcomes for women with gestational diabetes and their infants. The primary outcomes relate to maternal and perinatal mortality and morbidity.We searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform

2018 Cochrane

17. Planned birth at or near term for improving health outcomes for pregnant women with pre-existing diabetes and their infants. (PubMed)

Planned birth at or near term for improving health outcomes for pregnant women with pre-existing diabetes and their infants. Pregnant women with pre-existing diabetes (Type 1 or Type 2) have increased rates of adverse maternal and neonatal outcomes. Current clinical guidelines support elective birth, at or near term, because of increased perinatal mortality during the third trimester of pregnancy.This review replaces a review previously published in 2001 that included "diabetic pregnant women (...) to maternal and perinatal mortality and morbidity.We searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov, the WHO International Clinical Trials Registry Platform (ICTRP) (15 August 2017), and reference lists of retrieved studies.We planned to include randomised trials (including those using a cluster-randomised design) and non-randomised trials (e.g. quasi-randomised trials using alternate allocation) which compared planned birth, at or near term, with an expectant approach

2018 Cochrane

18. Treatments for women with gestational diabetes mellitus: an overview of Cochrane systematic reviews. (PubMed)

1.14, 95% CI 0.86 to 1.52; 10 RCTs, N = 2060), caesarean section (RR 1.03, 95% CI 0.93 to 1.14; 17 RCTs, N = 1988), large-for-gestational age (average RR 1.01, 95% CI 0.76 to 1.35; 13 RCTs, N = 2352), and perinatal death or serious morbidity composite (RR 1.03; 95% CI 0.84 to 1.26; 2 RCTs, N = 760). GRADE assessment was moderate-quality for these outcomes.Insulin versus dietThe evidence for perinatal mortality was inconclusive (RR 0.74, 95% CI 0.41 to 1.33; 4 RCTs, N = 1137; GRADE moderate-quality

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2018 Cochrane

19. Premature labour

. Combining cervical ultrasound and fetal fibronectin gives the best prediction of progression to preterm birth. Effective prophylactic interventions have not been identified. Cervical cerclage has a limited role in high-risk women, and progesterone therapy may be of benefit. Few lifestyle interventions improve outcome, but cessation of smoking is recommended. In utero transfer to appropriate neonatal facilities and antenatal corticosteroids reduce perinatal mortality and morbidity. Tocolytic agents

2018 BMJ Best Practice

20. Placental abruption

perinatal mortality and morbidity. Also a cause of significant maternal morbidity. Risk factors include smoking, trauma, hypertensive disorders, and cocaine use. Diagnosis is made clinically. Some ultrasound features may be helpful. Other tests are, for the most part, unreliable. Management and outcome depend on the gestational age, the degree of separation, and the maternal and fetal status. Definition The premature separation of a normally located placenta from the uterine wall that occurs before

2018 BMJ Best Practice