Characteristics of a global classification system for perinatal deaths: a Delphi consensus study

BMC Pregnancy and Childbirth

Research Article

J. Frederik Frøen¹  Fleurisca J. Korteweg²  Robert Pattinson³  Metin Gulmezoglu⁴  Özge Tunçalp⁴  Alexander E. P. Heazell⁵  Elizabeth McClure⁶  Sanne Gordijn⁷  Jan Jaap Erwich⁷  Robert M. Silver⁸  Zheyi Teoh⁹  Hanna E. Reinebrant^1,10  Vicki Flenady^1,10  Aleena M. Wojcieszek^1,10  Susannah Hopkins Leisher^1,10  Michael Coory^1,11  Gordon Smith^1,12  Jason Gardosi^1,13  Emma Allanson^1,14 

[1] Department of International Public Health, Norwegian Institute of Public Health, Oslo, Norway;Department of Obstetrics and Gynaecology, Martini Hospital, Groningen, The Netherlands;Department of Obstetrics and Gynaecology, University of Pretoria, Pretoria, South Africa;Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland;International Stillbirth Alliance, Bristol, UK;Institute of Human Development, Faculty of Medical and Human Sciences, University of Manchester, Manchester, UK & St. Mary’s Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK;International Stillbirth Alliance, Bristol, UK;Research Triangle Institute, Research Triangle Park, NC, USA;International Stillbirth Alliance, Bristol, UK;The University of Groningen, University Medical Center Groningen, Groningen, The Netherlands;International Stillbirth Alliance, Bristol, UK;University of Utah Health Sciences Center, Salt Lake City, USA;Mater Research Institute – The University of Queensland (MRI-UQ), Brisbane, Australia;Mater Research Institute – The University of Queensland (MRI-UQ), Brisbane, Australia;International Stillbirth Alliance, Bristol, UK;Murdoch Childrens Research Institute, Melbourne, Australia;National Institute for Health Research, Biomedical Research Centre & Department of Obstetrics & Gynaecology, Cambridge University, Cambridge, UK;Perinatal Institute, Birmingham, UK;School of Women and Infants Health, Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth, Australia;Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland;

关键词: Stillbirth;    Perinatal death;    Neonatal death;    Classification;    Systems;    Causes of death;   

DOI  :  10.1186/s12884-016-0993-x

 received in 2015-08-29, accepted in 2016-06-08,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundDespite the global burden of perinatal deaths, there is currently no single, globally-acceptable classification system for perinatal deaths. Instead, multiple, disparate systems are in use world-wide. This inconsistency hinders accurate estimates of causes of death and impedes effective prevention strategies. The World Health Organisation (WHO) is developing a globally-acceptable classification approach for perinatal deaths. To inform this work, we sought to establish a consensus on the important characteristics of such a system.MethodsA group of international experts in the classification of perinatal deaths were identified and invited to join an expert panel to develop a list of important characteristics of a quality global classification system for perinatal death. A Delphi consensus methodology was used to reach agreement. Three rounds of consultation were undertaken using a purpose built on-line survey. Round one sought suggested characteristics for subsequent scoring and selection in rounds two and three.ResultsThe panel of experts agreed on a total of 17 important characteristics for a globally-acceptable perinatal death classification system. Of these, 10 relate to the structural design of the system and 7 relate to the functional aspects and use of the system.ConclusionThis study serves as formative work towards the development of a globally-acceptable approach for the classification of the causes of perinatal deaths. The list of functional and structural characteristics identified should be taken into consideration when designing and developing such a system.

【 授权许可】

CC BY   
© The Author(s). 2016