Blencowe, Hannah; Hug, Lucia; Moller, Ann-Beth; You, Danzhen; Moran, Allisyn C; (2024) Definitions, terminology and standards for reporting of births and deaths in the perinatal period: International Classification of Diseases (ICD-11). International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 00. pp. 1-9. ISSN 0020-7292 DOI: https://doi.org/10.1002/ijgo.15794
Permanent Identifier
Use this Digital Object Identifier when citing or linking to this resource.
Abstract
Despite efforts to reduce stillbirths and neonatal deaths, inconsistent definitions and reporting practices continue to hamper global progress. Existing data frequently being limited in terms of quality and comparability across countries. This paper addresses this critical issue by outlining the new International Classification of Disease (ICD-11) recommendations for standardized recording and reporting of perinatal deaths to improve data accuracy and international comparison. Key advancements in ICD-11 include using gestational age as the primary threshold to for reporting, clearer guidance on measurement and recording of gestational age, and reporting mortality rates by gestational age subgroups to enable country comparisons to include similar populations (e.g., all births from 154 days [22+0 weeks] or from 196 days [28+0 weeks]). Furthermore, the revised ICD-11 guidance provides further clarification around the exclusion of terminations of pregnancy (induced abortions) from perinatal mortality statistics. Implementing standardized recording and reporting methods laid out in ICD-11 will be crucial for accurate global data on stillbirths and perinatal deaths. Such high-quality data would both allow appropriate regional and international comparisons to be made and serve as a resource to improve clinical practice and epidemiological and health surveillance, enabling focusing of limited programmatic and research funds towards ending preventable deaths and improving outcomes for every woman and every baby, everywhere.
Item Type | Article |
---|---|
Faculty and Department | Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology & International Health (2023-) |
Research Centre | Centre for Maternal, Reproductive and Child Health (MARCH) |
PubMed ID | 39127912 |
Elements ID | 227860 |
Official URL | http://dx.doi.org/10.1002/ijgo.15794 |
Download
Filename: Blencowe-etal-2024-Definitions-terminology-and-standards.pdf
Licence: Creative Commons: Attribution 4.0
Download