Send to

Choose Destination
See comment in PubMed Commons below
Paediatr Perinat Epidemiol. 2005 Jan;19(1):56-8.

Perinatal mortality rates: adjusting for risk factor profile is essential.

Author information

  • 1School of Population & Health Sciences (Epidemiology & Public Health), University of Newcastle, Newcastle, UK.


Perinatal mortality has long been used as a comparative measure of health and health care across regions, countries and over time. Recently, the validity of the measure has been questioned. Using data from a population-based survey of late fetal losses, stillbirths and infant deaths, the Northern Perinatal Mortality Survey, we demonstrate the potential for inaccuracy of crude measures of perinatal mortality. Such measures are generally not adjusted for characteristics of the population (e.g. birthweight, maternal age, plurality, gender) which are known to affect risk of adverse pregnancy outcome when comparing temporal or geographical trends. We also show the effect of standardising for these factors on the most frequent causes of perinatal death. We recommend the construction of a 'standard birth population' for calculating standardised perinatal mortality rates that would improve direct comparisons between populations.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Wiley
    Loading ...
    Write to the Help Desk