Application of the International Classification of Diseases for Perinatal Mortality (ICD-PM) to vital statistics records for the purpose of classifying perinatal deaths in Antioquia, Colombia
DOI:
https://doi.org/10.18597/rcog.3406Keywords:
Perinatal mortality, fetal mortality, child mortality, vital statistics, International Classification of DiseasesAbstract
Objective: To describe perinatal mortality in the Department of Antioquia based on the WHO International Classification of Diseases (ICD-PM) and determine the feasibility of applying this classification system to the official records on vital statistics.
Materials and methods: Descriptive study of the causes of perinatal death according to the time of death in relation to the time of delivery and associated maternal conditions. The primary source was the official database of vital statistics for the period between 2013 and 2016. The variables measured were maternal age, gestational age and weight at the time of birth, area of residence, type of delivery, and causes of death, including direct and associated causes, and other pathological conditions. A descriptive analysis is performed, causes are presented in terms of absolute numbers and percentages, and distributed according to the timing of death in relation to childbirth and birthweight.
Results: Of 3901 perinatal deaths occurring in fetuses 22 weeks or more of gestational age or a minimum weight of 500 g, and up to 28 days of life, 1404 (36.0%) occurred before delivery, 378 (9.7%) during the intrapartum period, 1760 (45.1%) during the neonatal period, and 359 (9.2%) cases had no information regarding the time of death in relation to the time of delivery. The main causes of death of the neonates weighing 1000 g or more were congenital malformations, deformities and chromosomal abnormalities (30.2%), antepartum and intrapartum hypoxia (29.3%), and infection (12.3%). In 69.5% of cases, no associated maternal causes were identified and in those in which there were related causes, the most frequent was placenta, cord and membrane complications (16.8%).
Conclusion: The ICD-PM is a system globally applicable to records of vital statistics, enabling the characterization of perinatal mortality in the Department.
Author Biographies
John Jairo Zuleta-Tobón, Universidad de Antioquia
MD. especialista en obstetricia y ginecología. MSc. en epidemiología. NACER, Salud Sexual y Reproductiva, Departamento de Obstetricia y Ginecología, Universidad de Antioquia, Medellín, Colombia.
Mary Salazar-Barrientos, Universidad de Antioquia
MSc. en Epidemiología; especialista en Auditoría en Salud; profesional en Gerencia de Sistemas de Información en Salud. NACER, Salud Sexual y Reproductiva, Departamento de Obstetricia y Ginecología, Universidad de Antioquia, Medellín, Colombia.
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