Classification of perinatal death.

Abstract:

:Three paediatric pathologists, one perinatal paediatrician, one obstetrician, and one epidemiologist separately used information collected on 239 babies in an attempt to validate the Wigglesworth classification of perinatal deaths. This was first done using clinical data only, then using the combination of clinical and gross necropsy findings and finally using clinical, gross necropsy, histological and any other information (for example, chromosome analyses, microbiological investigations). Only 14 (6%) of deaths changed groups within the Wigglesworth classification when gross necropsy findings were considered as well as clinical findings, and altogether only 21 (9%) changed classification when complete investigations were available. There was an unacceptable amount (15%) of disagreement between the classifiers, largely the result of failure to comply with the rules laid down for classification. We set out amendments to Wigglesworth's original definitions to clarify certain ambiguities.

journal_name

Arch Dis Child

authors

Keeling JW,MacGillivray I,Golding J,Wigglesworth J,Berry J,Dunn PM

doi

10.1136/adc.64.10_spec_no.1345

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

1345-51

issue

10 Spec No

eissn

0003-9888

issn

1468-2044

journal_volume

64

pub_type

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