Allanson, Emma, R.Tunçalp, OzgeGardosi, JasonPattinson, Robert CliveFrancis, AndreVogel, Joshua P.Erwich, Jan Jaap H. M.Flenady, Vicki J.Frøen, J. FrederikNeilson, JamesQuach, AmandaChou, DorisMathai, MatthewsSay, LaleGülmezoglu, A. Metin2017-01-182016-11Allanson, ER, Tuncalp, O, Gardosi, J, Pattinson, RC, Francis, A, Vogel, JP, Erwich, JJHM, Flenady, VJ, Froen, JF, Neilson, J, Quach, A, Chou, D, Mathai, M, Say, L & Gulmezoglu, AM 2016, 'The WHO application of ICD-10 to deaths during the perinatal period (ICD-PM) : results from pilot database testing in South Africa and United Kingdom', BJOG : An International Journal of Obstetrics and Gynaecology, vol. 123, no. 12, pp. 2019-2028.1470-0328 (print)1471-0528 (online)10.1111/1471-0528.14244http://hdl.handle.net/2263/58543This article is part of a mini-series on World Health Organization (WHO) application of ICD-10 to deaths during the perinatal period: ICD-PM.OBJECTIVE : To apply the WHO Application of ICD-10 to perinatal deaths: ICD-Perinatal Mortality (ICD PM) to existing perinatal death databases. DESIGN : Retrospective application of ICD-PM. SETTING : South Africa, United Kingdom Population Perinatal death databases. METHODS : Deaths were grouped according to timing of death and then by the ICD-PM cause of death. The main maternal condition at the time of perinatal death was assigned to each case. MAIN OUTCOME MEASURES : Causes of perinatal mortality, associated maternal conditions. RESULTS : In South Africa 344/689 (50%) deaths occurred antepartum, 11% (n=74) intrapartum and 39% (n=271) in the early neonatal period. In the UK 4377/9067 (48.3%) deaths occurred antepartum, with 457 (5%) intrapartum and 4233 (46.7%) in the neonatal period. Antepartum deaths were due to unspecified causes (59%), chromosomal abnormalities (21%) or problems related to fetal growth (14%). Intrapartum deaths followed acute intrapartum events (69%); neonatal deaths followed consequences of low birth weight / prematurity (31%), chromosomal abnormalities (26%), or unspecified causes in healthy mothers (25%). Mothers were often healthy; 53%, 38%, and 45% in the antepartum, intrapartum, and neonatal deaths, respectively. Where there was a maternal condition, it was most often maternal medical conditions, and complications of placenta, cord and membranes. CONCLUSIONS : ICD-PM can be a globally applicable perinatal death classification system that emphasises the need for a focus on the mother baby dyad as we move beyond 2015en© 2016 Royal College of Obstetricians and Gynaecologists. This is the pre-peer reviewed version of the following article : The WHO application of ICD-10 to deaths during the perinatal period (ICD-PM): results from pilot database testing in South Africa and United Kingdom, BJOG : An International Journal of Obstetrics and Gynaecology, vol.123, no. 12, pp. 2019-2018, 2016. doi : 10.1111/1471-0528.14244. The definite version is available at : http://onlinelibrary.wiley.comjournal/10.1111/(ISSN)1471-0528.Perinatal deathICD-perinatal mortality (ICD-PM)International classification of diseases (ICD)Maternal conditionWorld Health Organization (WHO)Postprint Article