A Population-based Study on Trends in the Mode of Delivery Subsequent to Stillbirth, Infant Mortality and Severe Infant Malformations in the State of Hesse, Germany between 1990 and 2012

Abstract

Rising rates of CSs and conversely decreased numbers of vaginal deliveries in most cases of full-term pregnancies contrast with the reduction of the positive HEPE item over the last 23 years. There seems to be an urgent need for action since this observed critical trend remains highly significant in comparison with the rising trend of CS in general. Pre-pregnancy counseling and continuous monitoring during pregnancy and delivery in consciousness of evident risk factors may be an opportunity to cope with these serious findings.

Trends in infant mortality rates in Hungary between 1963 and 2012

“…Similar to other studies in Europe , the rates of both neonatal and infant death significantly decreased in Hungary during the 50‐year study period. However, these other studies investigated shorter periods than our study.…”

Epidemiology and Outcome of Major Congenital Malformations in a Large German County

“…These individual reports contain essential data such as maternal health, biometrical data, and APGAR scores, which are summarized and published in the annually perinatal registry report. 11 In addition, the neonatal registry that was used in this survey contains more detailed data about malformations and other causes of neonatal morbidity. All neonatal units in the province are required to report essential information for all admitted patients during their first 10 postnatal days to the neonatal registry, including length of stay, biometric data upon admission and discharge, complications, duration of respiratory therapy, and congenital malformations.…”