{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T15:39:16Z","timestamp":1759333156299},"reference-count":9,"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>In a retrospective study of all perinatal and neonatal deaths in Iceland in 1976\u201385, the circumstances surrounding each death were carefully evaluated to assess the quality of care given and to identify cases of suboptimal care. In 1976\u201380, 87 or 35% of peri\u2010 and neonatal deaths were associated with suboptimal care and 46 or 29% of peri\u2010 and neonatal deaths in 1981\u201385. Most of the infants weighed more than 1500 g. Suboptimal care was most commonly seen in conjunction with antenatal care in both five\u2010year periods, with a 25% (N.S.) reduction of cases in 1981\u201385. Suboptimal intrapartum care was significantly reduced (p&lt;0.05) and there was a substantial reduction (62%), although not significant (0.1 &gt;p&gt;0.05), of suboptimal neonatal care between the two periods. A few cases were attributable to maternal decisions taken against medical advice, most of them in the latter period. Perinatal care improved during the study period. The task of further lowering perinatal mortality rates depends on vigilance to abnormal findings in routine antenatal care.<\/jats:p>","DOI":"10.3109\/00016348909009896","type":"journal-article","created":{"date-parts":[[2007,11,13]],"date-time":"2007-11-13T19:06:35Z","timestamp":1194980795000},"page":"109-112","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Can We Expect To Lower Perinatal And Neonatal Mortality?"],"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":"Sn\u00e6dal","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":"10.3109\/00016348909009895"},{"key":"e_1_2_1_3_1","first-page":"359","article-title":"Pregnancy and perinatal mortality","volume":"69","author":"Biering G.","year":"1983","journal-title":"L\u00e6knabladid\u2014Icelandic Medical Journal"},{"key":"e_1_2_1_4_1","first-page":"209","article-title":"Size at birth and perinatal mortality","volume":"70","author":"Biering G.","year":"1984","journal-title":"Lzeknabladid\u2014Icelandic Medical Journal"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1986.tb10151.x"},{"key":"e_1_2_1_6_1","first-page":"491","article-title":"Mersey Region Working Party on Perinatal Mortality Confidential inquiry into perinatal deaths in the Mersey region","year":"1982","journal-title":"Lancet"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1985.tb01391.x"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.288.6425.1206"},{"key":"e_1_2_1_9_1","first-page":"17","volume-title":"Perinatal Audit and surveillance","author":"Baird D.","year":"1980"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1985.tb01390.x"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.3109%2F00016348909009896","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.3109\/00016348909009896","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T11:44:16Z","timestamp":1697975056000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.3109\/00016348909009896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,1]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1989,1]]}},"alternative-id":["10.3109\/00016348909009896"],"URL":"https:\/\/doi.org\/10.3109\/00016348909009896","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[1989,1]]},"assertion":[{"value":"2011-01-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}