Title
An European concerted action investigating the validity of perinatal mortality as an outcome indicator for the quality of antenatal and perinatal care
Author
Richardus, J.H.
Graafmans, W.C.
van der Pal-de Bruin, K.M.
Amelink-Verburg, M.P.
Verloove-Vanhorick, S.P.
Mackenbach, J.P.
TNO Preventie en Gezondheid
Publication year
1997
Abstract
In this paper the concepts, objectives, design, and data analysis procedures of the EuroNatal study are described. This sutdy started in 1996 and is a concerted action including 14 countries in Europe. The EuroNatal study aims at determining the validity of national perinatal mortality rates as an outcome indicator for the quality of antenatal and perinatal care. It is based on a conceptual model describing the relationships between differences in quality of antenatal and perinatal care, maternal and infant risk factors, variation in applied definitions, reliability of registration procedures and practices, and the outcome in terms of 'true' and 'observed' differences in perinatal mortality. in the first part of the study data is collected at national and aggregate level; in the second part data is collected retrospectively on individual cases of perinatal mortality in a regional sample area. Analysis of the individual cases of perinatal mortality will be by means of a perinatal audit conducted by an international expert panel. The project builds upon the work done by the participants in their respective countries. By applying common research protocols, international comparability of data collection will be enhanced and will help to create a common body of knowledge in the area of perinatal epidemiology and perinatal care. Comparison between countries is likely to lead to new insights into the strenghts and weaknesses of antenatal and perinatal care systems of individual countries.
Subject
Health
Antenatal care
Europe
Infant mortality
Perinatal care
Perinatal mortality
Quality of care
Europe
Female
Humans
Infant Mortality
Infant, Newborn
Perinatal Care
Predictive Value of Tests
Pregnancy
Risk Factors
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DOI
https://doi.org/10.1515/jpme.1997.25.4.313
TNO identifier
234083
ISSN
0300-5577
Source
Journal of Perinatal Medicine, 25 (4), 313-324
Document type
article