Changes In Perinatal Hospital Deaths Occurring Outside The Neonatal Intensive Care Unit Over A Decade

Title

Changes In Perinatal Hospital Deaths Occurring Outside The Neonatal Intensive Care Unit Over A Decade

Creator

Du Pont-Thibodeau Amélie; Barrington K; Taillefer Catherine; Janvier A

Identifier

10.1111/apa.13884

Publisher

Acta Paediatrica

Date

2017

Subject

Ethics; Neonatology; Outcomes; Palliative Care; Perinatal Death

Description

AIM: Perinatal deaths occurring outside the neonatal intensive care unit (NICU) are rarely recorded in outcome studies, despite having a direct impact on perinatal statistics. Our aim was to investigate the timing and modes of perinatal deaths that occurred outside the NICU and changes over time. METHOD: We reviewed all perinatal deaths from 22 weeks of gestation onwards, without NICU admissions, during two periods in a Canadian tertiary mother and baby hospital and categorised deaths according to nine specific categories. RESULTS: There were 444 perinatal deaths that satisfied the inclusion criteria. The total number of perinatal deaths increased from 2000 to 2002 (n=197) and 2007 to 2010 (n=247). The proportion of fetuses alive at the time of their mother's hospital admission, but then stillborn, decreased. There was a significant increase in terminations for congenital anomalies in the second cohort, and a decrease in deaths following induction of labour and comfort care for fetal anomalies. CONCLUSION: Approaches to end of life care changed between the two study periods. Paediatricians should be aware of the epidemiology of perinatal mortality in their own practice, as it has a direct impact on the denominator in NICU outcome studies. This article is protected by copyright. All rights reserved.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation List Month

June 2017 List

URL Address

http://www.ncbi.nlm.nih.gov/pubmed/28434210

Citation

Du Pont-Thibodeau Amélie; Barrington K; Taillefer Catherine; Janvier A, “Changes In Perinatal Hospital Deaths Occurring Outside The Neonatal Intensive Care Unit Over A Decade,” Pediatric Palliative Care Library, accessed August 1, 2021, https://pedpalascnetlibrary.omeka.net/items/show/10891.

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