{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:35:57Z","timestamp":1747182957531,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,5,27]],"date-time":"2019-05-27T00:00:00Z","timestamp":1558915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Timor\u2010Leste has one of the highest perinatal mortality rates in the Asia\u2010Pacific region. Consistent and accurate data collection improves understanding of perinatal outcomes and facilitates the development of interventions to reduce stillbirths and early neonatal deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>(1) To identify changes in the rates of stillbirth and early neonatal deaths from previous published data. (2) To determine if prospective data collection and the application of the simplified Causes Of Death and Associated Conditions (<jats:styled-content style=\"fixed-case\">CODAC<\/jats:styled-content>) classification allows better identification of perinatal deaths in Timor\u2010Leste.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective audit of perinatal deaths of women delivering at Hospital Nacional Guido Valadares (HNGV) was undertaken from January to June 2016 inclusive. The hospital birth registry, maternal and neonatal records were reviewed to determine the most likely aetiology and classification of perinatal deaths using the simplified <jats:styled-content style=\"fixed-case\">CODAC<\/jats:styled-content> system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and ten stillbirths and 28 early neonatal deaths were identified. Fifty\u2010four percent of perinatal deaths occurred antepartum, 26% intrapartum and 20% were early neonatal deaths. Cause of death among stillbirths could not be ascertained in 40% of cases. Intrapartum asphyxia was the commonest identified aetiology of intrapartum and early neonatal deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There has been limited improvement in the rate of stillbirths and early neonatal deaths at <jats:styled-content style=\"fixed-case\">HNGV<\/jats:styled-content>. Intrapartum hypoxia and maternal hypertensive conditions were the most common identified aetiologies highlighting areas where targeted interventions may help reduce high perinatal mortality rates. Aetiology of perinatal deaths, particularly antepartum stillbirths was difficult to discern even when well\u2010tested classification systems are used.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12991","type":"journal-article","created":{"date-parts":[[2019,5,28]],"date-time":"2019-05-28T04:48:41Z","timestamp":1559018921000},"page":"70-75","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A prospective review of perinatal mortality at Hospital Nacional Guido Valadares (<scp>HNGV<\/scp>)"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2730-7454","authenticated-orcid":false,"given":"Skandarupan","family":"Jayaratnam","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Cairns Hospital Cairns Queensland Australia"},{"name":"College of Medicine and Dentistry James Cook University Cairns Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Lucia de Fatima Godinho Soares","sequence":"additional","affiliation":[{"name":"Hospital Nacional Guido Valadares Dili Timor\u2010Leste"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Bucens","sequence":"additional","affiliation":[{"name":"Hospital Nacional Guido Valadares Dili Timor\u2010Leste"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belinda","family":"Jennings","sequence":"additional","affiliation":[{"name":"Northern Territory Department of Health Darwin Northern Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5790-069X","authenticated-orcid":false,"given":"Cindy","family":"Woods","sequence":"additional","affiliation":[{"name":"School of Health University of New England Armidale New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9719-5753","authenticated-orcid":false,"given":"Alexis","family":"Shub","sequence":"additional","affiliation":[{"name":"Perinatal Department Mercy Hospital for Women Melbourne Victoria Australia"},{"name":"Department of Obstetrics &amp; Gynaecology University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2008.00960.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050802559129"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2016.27"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000460512"},{"key":"e_1_2_6_6_1","unstructured":"General Directorate of Statistics (GDS) Ministry of Health and ICF.Timor\u2010Leste Demographic and Health Survey 2016.Dili Timor\u2010Leste and Rockville Maryland USA:GDS and ICF."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12337"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12305"},{"key":"e_1_2_6_9_1","unstructured":"Australian Institute of Health and Welfare 2018.Perinatal deaths in Australia: 2013\u20132014. 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[Accessed 24 December 2018.] Available from URL:http:\/\/www.who.int\/iris\/handle\/10665\/43444"},{"key":"e_1_2_6_17_1","unstructured":"Royal College of Obstetricians and Gynaecologists.Leading Safe Choices \u2013 Best practice in postpartum family planning.London UK 2015."},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12940"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.05.027300"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000258130.07476.e3"},{"key":"e_1_2_6_21_1","unstructured":"World Health Organisation.Timor\u2010Leste \u2013 mortality and burden of disease \u2013 Malaria 2016. [Accessed 24 December 2018.] Available from URLhttp:\/\/www.who.int\/malaria\/publications\/countryprofiles\/profile_tls_en.pdf?ua=1"},{"key":"e_1_2_6_22_1","unstructured":"Aidsdatahub.Timor\u2010Leste Key facts on HIV Aidsdatahub.org 2013. 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