Liveborn and stillborn very low birthweight infants in Switzerland: comparison between hospital based birth registers and the national birth register.

Abstract:

BACKGROUND AND AIM:Perinatal and infant mortality rates are considered key indicators of medical care. The aim of this investigation was to examine how representative and reliable the official national figures of Switzerland are by comparing them with the data in local birth registers. METHODS:124 of 156 maternity hospitals in Switzerland, catering for about 80% of all newborn infants, participated in the study. The hospital based birth registers were screened for the years 1996 and 2000 for live and stillborn infants weighing less than 1500 g. These data were matched with the data in the official register (federal office for statistics). RESULTS:in 1996 a total of 753 newborn infants and in 2000 820 infants weighing between 300 and 1499 g were officially registered. In the hospital based registers in 1996 101 additional infants and in 2000 94 infants were identified that had not been officially registered; 31 of these were stillborn before 24 completed weeks. Infants registered only locally had lower birth weight and lower gestational age than those recorded in both registers. CONCLUSION:In Switzerland a significant number of very low birth weight infants who died soon after birth are not officially registered. If these infants are included, the national perinatal mortality rate would increase from 6.9 per thousand to 8.0 per thousand. Reasons for underreporting are unclear but may be due to varying definitions of stillbirth and different lower limits for reporting in various cantons. We suggest adopting the WHO-rules for reporting all births and to include gestational age, head circumference, Apgar scores and umbilical artery pH in the national birth register.

journal_name

Swiss Med Wkly

journal_title

Swiss medical weekly

authors

Müller M,Drack G,Schindler C,Bucher HU

doi

2005/29/smw-10946

keywords:

subject

Has Abstract

pub_date

2005-07-23 00:00:00

pages

433-9

issue

29-30

eissn

1424-7860

issn

1424-3997

pii

smw-10946

journal_volume

135

pub_type

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