Application of ICD‐PM to preterm‐related neonatal deaths in South Africa and United Kingdom

Abstract

Objective We explore preterm-related neonatal deaths using the WHO application of the International Classification of Disease (ICD-10) to deaths during the perinatal period: ICD-PM as an informative case study, where ICD-PM can improve data use to guide clinical practice and programmatic decision-making.Design Retrospective application of ICD-PM.Setting South Africa, and the UK.Population Perinatal death databases.Methods Descriptive analysis of neonatal deaths and maternal conditions present.Main outcome measures Causes of preterm neonatal mortality and associated maternal conditions.Results We included 98 term and 173 preterm early neonatal deaths from South Africa, and 956 term and 3248 preterm neonatal deaths from the UK. In the South African data set, the main causes of death were respiratory/cardiovascular disorders (34.7%), low birthweight/prematurity (29.2%), and disorders of cerebral status (25.5%). Amongst preterm deaths, low birthweight/ prematurity (43.9%) and respiratory/cardiovascular disorders (32.4%) were the leading causes. In the data set from the UK, the leading causes of death were low birthweight/prematurity (31.6%), congenital abnormalities (27.4%), and deaths of unspecified cause (26.1%). In the preterm deaths, the leading causes were low birthweight/prematurity (40.9%) and deaths of unspecified cause (29.6%). In South Africa, 61% of preterm deaths resulted from the maternal condition of preterm spontaneous labour. Among the preterm deaths in the data set from the UK, no maternal condition was present in 36%, followed by complications of placenta, cord, and membranes (23%), and other complications of labour and delivery (22%).Conclusions ICD-PM can be used to appraise the maternal and newborn conditions contributing to preterm deaths, and can inform practice.

The WHO application of ICD‐10 to deaths during the perinatal period (ICD‐PM): results from pilot database testing in South Africa and United Kingdom

“…11 In paper 3, we use preterm neonatal deaths as an informative case study of a challenging condition where ICD-PM allows better use of data around the causes of death and contributing factors. 12 Paper 4 explores the contributing maternal conditions and benefits of changes to the coding rules in the upcoming ICD-11, such that ICD-PM and ICD-MM would use the same maternal codes, which is currently not the case. 13 2…”

Optimising the International Classification of Diseases to identify the maternal condition in the case of perinatal death

“…7 In paper 3 we use preterm neonatal deaths as an informative case study of a challenging condition where ICD-PM enables the improved use of data regarding causes of death and contributing factors. 9 Paper 4 explores the contributing maternal conditions and benefits of changes to the coding rules in the upcoming ICD-11, such that ICD-PM and ICD-MM would use the same maternal codes, which is currently not the case.…”

Content and balance of trace elements in placenta on different stages of gestation

“…Проблема невиношування залишається однією з най-більш значущих у сучасній перинатології та педіатрії, адже тільки у 2010 році 14,9 мільйона дітей народились передчасно, що еквівалентно 11,1 % усім живонародже-ним новонародженим у світі [1,2].…”