Use of Wigglesworth pathophysiological classification for perinatal mortality in Malaysia

A one year prospective study of perinatal deaths was conducted to test the feasibility of using the Wigglesworth pathophysiological classification in the Malaysian health service. Four regions with high perinatal mortality rates were selected. Deaths were actively identified. Nursing staff were trai...

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Bibliographic Details
Published in:Archives of disease in childhood 1996-01, Vol.74 (1), p.F56-F59
Main Authors: Amar, H. S., Maimunah, A. H., Wong, S. L.
Format: Article
Language:English
Subjects:
Analysis. Health state
Biological and medical sciences
Cause of Death
Classification
Epidemiology
Feasibility Studies
General aspects
Humans
Infant Mortality
Infant, Newborn
Malaysia - epidemiology
Medical sciences
Mortality
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
State Medicine
Tropical medicine
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Summary:A one year prospective study of perinatal deaths was conducted to test the feasibility of using the Wigglesworth pathophysiological classification in the Malaysian health service. Four regions with high perinatal mortality rates were selected. Deaths were actively identified. Nursing staff were trained to use the classification and every death was reviewed by a clinician. A total of 26,198 births and 482 perinatal deaths were reported. The perinatal mortality rate was 18.4. Only 14 (2.9%) deaths had their Wigglesworth category reclassified. Most deaths were in the normally formed macerated stillbirths (34.4%), asphyxial conditions (26.8%), and immaturity (20.1%) subgroups. The results were compared with data from other countries that used this classification. This study has shown that the Wigglesworth pathophysiological classification can be applied to perinatal deaths in the existing Malaysian health service.
ISSN:1359-2998
0003-9888
1468-2052
1468-2044
DOI:10.1136/fn.74.1.F56