{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T08:04:39Z","timestamp":1759565079389},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2011,1,11]],"date-time":"2011-01-11T00:00:00Z","timestamp":1294704000000},"content-version":"vor","delay-in-days":8045,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[1989,1]]},"abstract":"<jats:p>A retrospective case record analysis of all perinatal and late neonatal deaths in Iceland in the periods 1976\u201380 and 1981\u201385 was done and the causes of death classified according to the extended Aberdeen classification. There was a significant (p&lt;0.0001) reduction in number of deaths between the two periods with perinatal mortality rates declining from 10.6\/1000 in 1976\u201380 to 6.8\/1000 in 1981\u201385. In 1976\u201380 there were 81 (33%) antepartum, 37 (15%) intrapartum and 128 (52%) neonatal deaths compared to 61 (38%) antepartum, 13 (8%) intrapartum and 86 (54%) neonatal deaths in 1981\u201385.<\/jats:p><jats:p><jats:italic>Fetal abnormality<\/jats:italic> was the most common cause of death in both periods followed by the category <jats:italic>Low birthweight<\/jats:italic> in 1976\u201380. In 1981\u201385 increased morphological detection of infection in infants of very low birthweight by placental examination and autopsies lead to a shift from the category <jats:italic>Low birthweight<\/jats:italic> to <jats:italic>Maternal Disease<\/jats:italic>, the second most common cause in that period.<\/jats:p><jats:p>To achieve lower perinatal mortality rates efforts should be directed towards lowering anteparturn losses near term and increasing survival of very low birthweight infants.<\/jats:p>","DOI":"10.3109\/00016348909009895","type":"journal-article","created":{"date-parts":[[2007,11,13]],"date-time":"2007-11-13T19:06:38Z","timestamp":1194980798000},"page":"101-108","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Classification Of Perinatal And Late Neonatal Deaths In Iceland"],"prefix":"10.1111","volume":"68","author":[{"given":"Ingibj\u00f6rg","family":"Georgsd\u00f3ttir","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reynir T\u00f3mas","family":"Geirsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f3hann Heidar","family":"J\u00f3hannsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunnar","family":"Biering","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gunnlaugur","family":"Snzdal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,1,11]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1986.tb07852.x"},{"key":"e_1_2_1_3_1","first-page":"200","volume-title":"Perinatal Problems: The second report of the, 1958 British Perinatal Mortality Survey","author":"Baird D.","year":"1969"},{"issue":"45","key":"e_1_2_1_4_1","article-title":"Obstetrics and Perinatal Medicine in Iceland 1881\u20131971 with a detailed report on deliveries in Iceland 1972\u20131974","author":"Snaedal G.","year":"1975","journal-title":"Acta Obstet et Gynecol Scand"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1954.tb07507.x"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.6198.1103"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1986.tb07853.x"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1986.tb07857.x"},{"key":"e_1_2_1_9_1","volume-title":"Manual of the international statistical classification of diseases, injuries and causes of death","year":"1977"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1985.tb01041.x"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1955.tb14094.x"},{"key":"e_1_2_1_12_1","first-page":"125","volume-title":"Cancer Epidemiology: Methods of Study","author":"Lilienfeld A M","year":"1967"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(80)90888-1"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1985.tb01391.x"},{"key":"e_1_2_1_15_1","first-page":"694","article-title":"Perinatally related wastage\u2014a proposed classification of primary obstetric factors","volume":"93","author":"Whitfield C R","year":"1986","journal-title":"Br J Obstet Gynaecol"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1983.tb09296.x"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198309083091012"},{"key":"e_1_2_1_18_1","first-page":"17","volume-title":"Perinatal omsorg i Norge. 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