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For discussion: standard national perinatal data: a suggested minimum data set. Community Med 1981:3:298-306.","journal-title":"Community Med"},{"key":"ref_4","first-page":"491","article-title":"Mersey Region Working Party on Perinatal Mortality. Confidential inquiry into perinatal deaths in the Mersey region","volume":"i:","year":"1982","unstructured":"Mersey Region Working Party on Perinatal Mortality. Confidential inquiry into perinatal deaths in the Mersey region. Lancet 1982;i:491-4.","journal-title":"Lancet"},{"key":"ref_5","first-page":"228","article-title":"The contribution of pathology to perinatal audit","volume-title":"audit and surveillance","author":"Barson, A.J.","year":"1980","unstructured":"Barson AJ. The contribution of pathology to perinatal audit. In: Chalmers I, Mcllwaine G, eds. Perinatal audit and surveillance. London: Royal College of Obstetricians and Gynaecologists, 1980:228-38."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1136\/bmj.284.6320.973","article-title":"Problems with perinatal pathology (letter)","volume":"284","author":"Barson, A.J.; Davis, J.A.; Jolly, H.R.","year":"1982","unstructured":"Barson AJ, Davis JA, Jolly HR, et al. Problems with perinatal pathology (letter). Br Med J 1982;284:973-4.","journal-title":"Br Med J"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/S0022-3476(70)80002-6","article-title":"The causes of neonatal mortality. An analysis of 501 autopsies on newborn infants","volume":"77","author":"Valdes-Dapena, M.A.; Arey, J.B.","year":"1970","unstructured":"Valdes-Dapena MA, Arey JB. The causes of neonatal mortality. An analysis of 501 autopsies on newborn infants. 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Autopsy study of 100 cases","volume":"100","author":"Joshi, VV","year":"1976","unstructured":"Joshi VV. Primary causes of perinatal mortality. Autopsy study of 100 cases. Arch Pathol Lab Med 1976;100:106-9.","journal-title":"Arch Pathol Lab Med"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/S0140-6736(80)92717-8","article-title":"Monitoring perinatal mortality. A pathophysiological approach","volume":"ii:","author":"Wigglesworth, J.S.","year":"1980","unstructured":"Wigglesworth JS. Monitoring perinatal mortality. A pathophysiological approach. Lancet 1980;ii:684-6.","journal-title":"Lancet"},{"key":"ref_12","article-title":"Perinatal and neonatal mortality. Second report from the Social Services Committee","volume":"1","author":"Short, R.; chairman","year":"1979","unstructured":"Short R, chairman. Perinatal and neonatal mortality. Second report from the Social Services Committee 1979-80. Vol 1. London: HMSO, 1980."},{"key":"ref_13","article-title":"Perinatal mortality. The first report of the 1958 British perinatal mortality survey. Edinburgh and","author":"Butler, N.R.; Bonham, D.G.","year":"1963","unstructured":"Butler NR, Bonham DG. Perinatal mortality. The first report of the 1958 British perinatal mortality survey. Edinburgh and London: Livingstone, 1963."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1093\/oxfordjournals.aje.a112644","article-title":"A comparison of 1960 and 1973-74 early neonatal mortality in selected states","volume":"108","author":"Kleinman, J.C.; Kovar, M.G.; Feldman, J.J.; Young, C.A.","year":"1978","unstructured":"Kleinman JC, Kovar MG, Feldman JJ, Young CA. A comparison of 1960 and 1973-74 early neonatal mortality in selected states. 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The variability of viability: the effect of physician's perceptions of viability on the survival of very low birth weight infants. Am J Obstet Gynecol 1982:143:678-84.","journal-title":"Am J Obstet Gynecol"},{"key":"ref_22","article-title":"Full modern intensive care of the newborn was introduced at St Mary's, Manchester in 1976 and there was a sharp fall in neonatal mortality that year.'","unstructured":"Full modern intensive care of the newborn was introduced at St Mary's, Manchester in 1976 and there was a sharp fall in neonatal mortality that year.' (First week mortality rate falling from 13 in"},{"key":"ref_23","article-title":"In order to assess the impact of intensive care on causes of death, therefore, we would need to compare data from before 1976 with data after","year":"1976","unstructured":"to 7 in 1976.) In order to assess the impact of intensive care on causes of death, therefore, we would need to compare data from before 1976 with data after 1976."},{"key":"ref_24","article-title":"Thirty six fewer babies died at St Mary's in 1981 than in 1976. There were three moTe deaths in babies weighing less than","volume-title":"2-5 kg, and 15 fewer weighing more than 2-5 kg. In absolute terms, therefore, the major contribution to the improved perinatal mortality over this period was a saving of larger babies. If the change in distribution of birthweights is taken into account, however, comparing the weight specific perinatal mortality in 1981 with that in 1976, the savings become 11 babies in those weighing less than 1*0 kg","author":"27 in the 1 to 1-5 kg group, 10 in the 1-5 to 2*0 kg group, 8 at 2 to","unstructured":"Thirty six fewer babies died at St Mary's in 1981 than in 1976. There were three moTe deaths in babies weighing less than 1 kg, 7 fewer in the 1 to 1-5 kg group, 9 fewer in the 1-5 to 2*0 kg group, 8 fewer at 2 to 2-5 kg, and 15 fewer weighing more than 2-5 kg. In absolute terms, therefore, the major contribution to the improved perinatal mortality over this period was a saving of larger babies. If the change in distribution of birthweights is taken into account, however, comparing the weight specific perinatal mortality in 1981 with that in 1976, the savings become 11 babies in those weighing less than 1*0 kg, 27 in the 1 to 1-5 kg group, 10 in the 1-5 to 2*0 kg group, 8 at 2 to 2-5 kg, and 15 over 2-5 kg."},{"key":"ref_25","article-title":"Neonatal intensive care caused a maximal reduction in mortality from hyaline membrane disease in 1976 with no further improvement since then","unstructured":"Neonatal intensive care caused a maximal reduction in mortality from hyaline membrane disease in 1976 with no further improvement since then."},{"key":"ref_26","article-title":"Some babies who would previously have died of asphyxia are now saved from asphyxia only to die of hyaline membrane disease or intraventricular haemorrhage","unstructured":"Some babies who would previously have died of asphyxia are now saved from asphyxia only to die of hyaline membrane disease or intraventricular haemorrhage."},{"key":"ref_27","article-title":"There has been an increase in the incidence of severe hyaline membrane disease in this birthweight group for some other reason","unstructured":"There has been an increase in the incidence of severe hyaline membrane disease in this birthweight group for some other reason."},{"key":"ref_28","article-title":"Improvement in the management of respiratory failure has been accompanied by an increase in deaths from intraventricular haemorrhage","unstructured":"Improvement in the management of respiratory failure has been accompanied by an increase in deaths from intraventricular haemorrhage."},{"key":"ref_29","article-title":"Increased sophistication in the diagnosis and assessment of intraventricular haemorrhage has led to the elective withdrawal of intensive care from some babies who might otherwise have survived severely handicapped","unstructured":"Increased sophistication in the diagnosis and assessment of intraventricular haemorrhage has led to the elective withdrawal of intensive care from some babies who might otherwise have survived severely handicapped."}],"container-title":["Archives of Disease in Childhood"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/adc.59.3.199","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T03:46:05Z","timestamp":1684813565000},"score":1,"resource":{"primary":{"URL":"https:\/\/adc.bmj.com\/lookup\/doi\/10.1136\/adc.59.3.199"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1984,3,1]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1984,3,1]]}},"URL":"https:\/\/doi.org\/10.1136\/adc.59.3.199","relation":{},"ISSN":["0003-9888","1468-2044"],"issn-type":[{"value":"0003-9888","type":"print"},{"value":"1468-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[1984,3,1]]}}}