Perinatal mortality in Scotland

An examination of the recent decline in perinatal mortality in Scotland during the 1970s showed that despite substantial changes in fertility and the demographic pattern of births, differences in the age, parity, and social class composition of the obstetric population in this decade accounted for just 7% of the overall improvement in perinatal mortality between 1970 and 1979. The general pattern of relative risks associated with maternal age, parity, and social class remained largely unchanged. Marginal changes in the birthweight distribution, however, were sufficient to account for 13% of the reduction in perinatal mortality. The low birthweight infant, especially those weighing under 1500 g, assumed increasing importance as a factor in perinatal mortality owing to a progressive worsening in the relative risk of perinatal mortality associated with low birth weight. Although regional differences in perinatal mortality persisted over this period, there occurred some lessening of the traditional inequality between western and eastern parts of the country. Finally, registered causes of perinatal mortality are reviewed. In the absence of other explanations the results of this analysis, collectively, suggest that much of the recent decline in perinatal mortality was perhaps due to changes in obstetric practice and in the clinical management of neonatal morbidity

Birth weight · Environmental health · Fertility · Fetus · Infant mortality · Low birth weight · Neonatal mortality · Parity (physics) · Perinatal mortality · Population · Pregnancy · Social class · Birth, Development, and Health · Demography · Global Health Care Issues · Health disparities and outcomes · Medicine · Pediatrics

• Influence of maternal age, parity and social class on perinatal mortality in Scotland

  Open Access•J F Forbes, John Forbes et al.•Journal of Biosocial Science•1985

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• Socioeconomic factors and mortality in urban settings

  Carme Borrell, A Arias•Journal of Epidemiology and…•1995

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• Infant, neonatal, postneonatal and perinatal mortality in Spain, 1975–1984. Interregional and interannual differences

  Open Access•Pablo Lardelli, Josefa Masa‐Calles et al.•Social Science & Medicine•1991

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• Factors affecting the outcome of maternity care. 1. Relationship between staffing and perinatal deaths at the hospital of birth

  John Stilwell, A Szczepura et al.•Journal of Epidemiology and…•1988

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• Components of a Difference Between Two Rates

  Evelyn M Kitagawa•Journal of the American…•1955

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• Perinatal Problems. The Second Report of the 1958 British Perinatal Mortality Survey

  Open Access•Neville R Butler, Neville Butler et al.•Population•1970

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