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Arch Dis Child Fetal Neonatal Ed 89:F285-F288 doi:10.1136/adc.2003.022483
  • Review

Investigating perinatal death: a review of the options when autopsy consent is refused

Table 2

 Studies of perinatal postmortem radiography

Study Case selection Autopsy rate Case mix Radiographs with abnormalities
SB, Stillbirth; NND, neonatal death.
Ryan & Kozlowski11 109 consecutive radiographs Not stated SB, NND Skeletal 17%
Foote et al12 2500 consecutive deaths Not stated SB, NND 18%
Griscom & Driscoll13 Series A (unselected): 238 series B (selected):102 Not stated Fetal (20 weeks–term), NND 18% (series A), 75% (series B)
Cremin & Draper14 100 consecutive deaths 89% SB, NND Not stated
Winter & Sandin15 488 consecutive deaths 77% SB, NND Soft tissue 21%, skeletal 18%, “useful or diagnostic”16%
Seppanen16 514 consecutive radiographs 100% SB, NND 30%
de la Fuente et al17 234 consecutive autopsies 100% Fetal (14 weeks–term), NND 21%, “essential” 2.1%
Kalifa et al18 400 consecutive deaths Not stated Fetal (11 weeks–term) “Valuable for diagnosis” 13.5%, “additional information” 34.5%
Gronvall & Graem19 137 consecutive autopsies 100% Fetal (8 weeks–term), NND 59%, “major” 9%
Olsen et al20 542 consecutive deaths 100% Fetal (16 weeks–term), NND 30%, “vital” 3.1%

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