Applying the international classification of diseases to perinatal mortality data, South Africa

dc.contributor.authorLavin, Tina
dc.contributor.authorAllanson, Emma R.
dc.contributor.authorNedkoff, Lee
dc.contributor.authorPreen, David B.
dc.contributor.authorPattinson, Robert Clive
dc.date.accessioned2019-05-09T13:38:53Z
dc.date.available2019-05-09T13:38:53Z
dc.date.issued2018-12
dc.description.abstractOBJECTIVE : To examine the feasibility of applying the International Classification of Diseases-perinatal mortality (ICD-PM) coding to an existing data set in the classification of perinatal deaths. METHODS : One author, a researcher with a non-clinical public health background, applied the ICD-PM coding system to South Africa’s national perinatal mortality audit system, the Perinatal Problem Identification Program. The database for this study included all perinatal deaths (n = 26 810), defined as either stillbirths (of birth weight > 1000 g and after 28 weeks of gestation) or early neonatal deaths (age 0–7 days), that occurred between 1 October 2013 and 31 December 2016. A clinical obstetrician verified the coding. FINDINGS : The South African classification system does not include the timing of death; however, under the ICD-PM system, deaths could be classified as antepartum (n = 15 619; 58.2%), intrapartum (n = 3725; 14.0%) or neonatal (n = 7466; 27.8%). Further, the South African classification system linked a maternal condition to only 40.3% (10 802/26 810) of all perinatal deaths; this proportion increased to 68.9% (18 467/26 810) under the ICD-PM system. CONCLUSION : The main benefit of using the clinically relevant and user-friendly ICD-PM system was an enhanced understanding of the data, in terms of both timing of death and maternal conditions. We have also demonstrated that it is feasible to convert an existing perinatal mortality classification system to one which is globally comparable and can inform policy-makers internationally.en_ZA
dc.description.departmentAfrikaansen_ZA
dc.description.librarianam2019en_ZA
dc.description.urihttp://www.who.int/bulletin/enen_ZA
dc.identifier.citationLavin, T., Allanson, E.R., Nedkoff, L. et al. 2018, 'Applying the international classification of diseases to perinatal mortality data, South Africa', Bulletin of the World Health Organization, vol. 96, no. 12, pp. 806-816.en_ZA
dc.identifier.issn0042-9686 (print)
dc.identifier.issn1564-0604 (online)
dc.identifier.other10.2471/BLT.17.206631
dc.identifier.urihttp://hdl.handle.net/2263/69083
dc.language.isoenen_ZA
dc.publisherWorld Health Organizationen_ZA
dc.rights© World Health Organization 2018. Article is available under the Creative Commons Attribution 3.0 IGO licence (CC BY 3.0 IG0).en_ZA
dc.subjectDiseasesen_ZA
dc.subjectMortalityen_ZA
dc.subjectDeathsen_ZA
dc.subjectSouth Africa (SA)en_ZA
dc.subjectStillbirthsen_ZA
dc.subjectInternational classification of diseases-perinatal mortality (ICD-PM)en_ZA
dc.subject.otherHumanities articles SDG-09
dc.subject.otherSDG-09: Industry, innovation and infrastructure
dc.titleApplying the international classification of diseases to perinatal mortality data, South Africaen_ZA
dc.typeArticleen_ZA

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