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Arch Dis Child Fetal Neonatal Ed 89:F531-F536 doi:10.1136/adc.2003.038414
  • Original article

Changing patterns of perinatal death, 1982–2000: a retrospective cohort study

Table 5

 Cause specific death rates (with the numbers of cases in parentheses) in 1982–90 and 1991–2000, and rate ratios, for singleton births by maternal age

Cause of death Stillbirth rate Rate ratio (95% CI) Neonatal death rate Rate ratio (95% CI)
1982–90 1991–2000 1982–90 1991–2000
Stillbirth rates were calculated per 10 000 total births (live and still); neonatal death rates were calculated per 10 000 live births.
Maternal age <20 years (n = 71 874)
Congenital anomalies 8.5 (32) 1.5 (5) 0.17 (0.07 to 0.44) 14.5 (54) 12.3 (42) 0.84 (0.56 to 1.26)
Antepartum hypoxia 48.9 (183) 40.1 (138) 0.82 (0.66 to 1.02) 0 0.9 (3)
Intrapartum hypoxia 5.9 (22) 2.0 (7) 0.35 (0.15 to 0.81) 8.1 (30) 4.1 (14) 0.51 (0.27 to 0.96)
Prematurity 26.3 (98) 22.2 (76) 0.84 (0.62 to 1.14)
All causes 65.1 (244) 46.8 (161) 0.72 (0.59 to 0.88) 51.1 (175) 58.3 (217) 0.88 (0.72 to 1.07)
Maternal age 20–34 years (n = 545 069)
Congenital anomalies 4.1 (115) 2.3 (63) 0.57 (0.42 to 0.77) 16.3 (452) 9.2 (247) 0.57 (0.49 to 0.66)
Antepartum hypoxia 36.6 (1022) 32.0 (858) 0.87 (0.80 to 0.96) 0.1 (3) 0.6 (15)
Intrapartum hypoxia 6.5 (182) 3.6 (97) 0.55 (0.43 to 0.71) 6.5 (181) 4.9 (130) 0.75 (0.60 to 0.93)
Prematurity 14.2 (394) 11.2 (300) 0.79 (0.68 to 0.92)
All causes 48.8 (1362) 40.0 (1075) 0.82 (0.76 to 0.89) 44.4 (1234) 33.7 (900) 0.79 (0.76 to 0.83)
Maternal age ⩾35 years (n = 51 189)
Congenital anomalies 7.6 (15) 5.0 (16) 0.67 (0.33 to 1.35) 25.9 (51) 10.8 (34) 0.42 (0.27 to 0.64)
Antepartum hypoxia 58.5 (116) 45.1 (143) 0.77 (0.60 to 0.98) 0.5 (1) 1.9 (6)
Intrapartum hypoxia 11.1 (22) 4.1 (13) 0.37 (0.19 to 0.73) 7.1 (14) 5.1 (16) 0.71 (0.35 to 1.46)
Prematurity 23.3 (46) 13.3 (42) 0.57 (0.37 to 0.86)
All causes 78.7 (156) 58.3 (185) 0.74 (0.60 to 0.92) 71.7 (141) 41.2 (130) 0.57 (0.45 to 0.73)

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