PERISTAT: Indicators for monitoring and evaluating perinatal health in Europe

Zeitlin, Jennifer; Wildman, Katherine; Bréart, G.; Alexander, Sophie; Barros, H.; Blondel, Béatrice; Buitendijk, S.; Gissler, Mika; Macfarlane, Alison

doi:10.1093/eurpub/13.suppl_3.29

Cited by 50 publications

(38 citation statements)

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“…In our study, Apgar scores and umbilical pH values did not reveal differences in care during delivery. This is in line with previous studies in determining obstetric patient safety indicators, suggesting more national and international projects for creating international consensus on quality indicators [16,17]. Newborn outcomes should not be worse in smaller non-university hospitals, since high-risk pregnancies are systematically directed to a higher-level hospital for obstetric care and delivery.…”

Section: Commentsupporting

confidence: 89%

Effect of hospital size and on-call arrangements on intrapartum and early neonatal mortality among low-risk newborns in Finland

Karalis

Gissler

Tapper

et al. 2016

European Journal of Obstetrics & Gynecology and Reproductiv

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Section: Commentsupporting

confidence: 89%

Effect of hospital size and on-call arrangements on intrapartum and early neonatal mortality among low-risk newborns in Finland

Karalis

Gissler

Tapper

et al. 2016

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Older mothers have an increased risk of stillbirth and early miscarriage 38,39 and it is possible that this applies particularly to more vulnerable malformed fetuses. The increased risk of multiple births to mothers [35][36][37][38][39] years and the increased risk of congenital anomalies among multiple births (5% of our NCA cases were multiple births) also need further investigation in relation to older maternal age risks.…”

Section: Discussionmentioning

confidence: 99%

“…This highlights the importance of developing general perinatal information for Europe. 37 A number of artefacts can lead to small apparent agerelated risk increases. Mismatches between numerator and denominator can bias estimates of risk.…”

Section: Discussionmentioning

confidence: 99%

Maternal Age-Specific Risk of Nonchromosomal Anomalies

Loane

Dolk

Morris

2009

Obstetrical &Amp; Gynecological Survey

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Objectives To determine the excess risk of non-chromosomal congenital anomaly (NCA) among teenage mothers and older mothers.Design and setting Population-based prevalence study using data from EUROCAT congenital anomaly registers in 23 regions of Europe in 15 countries, covering a total of 1.75 million births from 2000 to 2004.Participants A total of 38 958 cases of NCA that were live births, fetal deaths with gestational age ‡20 weeks or terminations of pregnancy following prenatal diagnosis of a congenital anomaly.Main outcome measures Prevalence of NCA according to maternal age, and relative risk (RR) of NCA and 84 standard NCA subgroups compared with mothers aged 25-29. ResultsThe crude prevalence of all NCA was 26.5 per 1000 births in teenage mothers (<20 years), 23.8 for mothers 20-24 years, 22.5 for mothers 25-29 years, 21.5 for mothers 30-34 years, 21.4 for mothers 35-39 years and 22.6 for mothers 40-44 years. The RR adjusted for country for teenage mothers was 1.11 (95% CI 1.06-1.17); 0.99 (95% CI 0.96-1.02) for mothers 35-39; and 1.01 (95% CI 0.95-1.07) for mothers 40-44. The pattern of maternal age-related risk varied significantly between countries: France, Ireland and Portugal had higher RR for teenage mothers, Germany and Poland had higher RR for older mothers. The maternal age-specific RR varied for different NCAs. Teenage mothers were at a significantly greater risk (P < 0.01) of gastroschisis, maternal infection syndromes, tricuspid atresia, anencephalus, nervous system and digestive system anomalies while older mothers were at a significantly greater risk (P < 0.01) of fetal alcohol syndrome, encephalocele, oesophageal atresia and thanatophoric dwarfism.Conclusions Clinical and public health interventions are needed to reduce environmental risk factors for NCA, giving special attention to young mothers among whom some risk factors are more prevalent. Reassurance can be given to older mothers that their age in itself does not confer extra risk for NCA.

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“…A first set of perinatal health indicators was defined and tested for the 15 states which were EU members before the 2004 enlargement [3][4]. An extensive review of existing perinatal health indicators was followed by a DELPHI consensus process, in which a panel of experts responded to a series of questionnaires with the aim of achieving a consensus on key principles or proposals [3].…”

Section: Selection Of Indicatorsmentioning

confidence: 99%

“…An important component of this work has been to identify the most relevant health indicators and data sources for reliable international comparisons. With finance from the Health Monitoring Programme of Commission of the European Union (EU), perinatal statistics were collected and published for 15 EU member states in 2003 [3,4]. After the enlargement of the EU, a review of perinatal health indicators and data sources was needed with collection of more recent data from all participating countries.…”

Section: Introductionmentioning

confidence: 99%