Perinatal deaths in Bursa Province, Turkey: an analysis by applying the International Classification of Diseases-perinatal mortality (ICD-PM) system

Objectives: The International Classification of Diseases for Perinatal Mortality (ICD-PM) system is a globally used classification based on the International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes. Moreover, it focuses on the time of death and maternal conditions. Here, we analyzed perinatal deaths by using the ICD-PM system. Methods: This is a retrospective study, performed between January 1, 2020, and March 30, 2022, in Bursa. Perinatal characteristics and the causes of perinatal deaths were recorded. The perinatal deaths were classified according to the ICD-PM system and descriptives were given. Results: The majority of perinatal death cases (119 cases) occurred in the antepartum period. The leading cause of antepartum deaths was unspecified causes (62.2%) followed by fetal growth disorders (9.3%). A total of 63 (53.7%) mothers were healthy (M5) while 27 (22.7%) mothers had medical or surgical conditions (M4). Acute intrapartum events (33.4%) were the commonest cause of intrapartum deaths followed by unspecified causes (26.6%). When neonatal deaths were analyzed, low birth weight/prematurity constitute 59.6% of neonatal deaths. The largest proportion of mothers was healthy in the intrapartum (40%) while maternal complications of pregnancy (M2) was the most commonest classification for neonatal deaths. Conclusions: ICD-PM is a globally used system for classifying perinatal deaths. The time of perinatal death used in this system provides focus on interventions in perinatal care and it encourages comparison between perinatal care centers. We suggest that we might use resources truly to prevent perinatal deaths in our country by using this system.

Keywords:

ICD-10, ICD-PM, perinatal death perinatal mortality,

PDF

___

1. World Health Organization. Neonatal and Perinatal Mortality: Country, Regional and Global Estimates, 2006.
2. Erdem G. [Perinatal mortality]. Çocuk Sağlığı ve Hastalıkları Dergisi 1997;40 335-43. [Article in Turkish]
3. King JF, Warren RA. The role of reviews of perinatal deaths. Semin Fetal Neonatal Med 2006;11:79-87.
4. Koç S, Can M. Birinci Basamakta Adli Tıp. In: Pakiş I, Koç S, eds. Perinatal ve Neonatal Dönem Bebek Ölümleri. 2 ed. İstanbul: Golden Print. 2011: pp.117-26.
5. Gülmen MK, Salaçin S. [The importance of diagnosing meconium aspiration and perinatal deaths]. Adli Tıp Bülteni 1996;1:132-5. [Article in Turkish]
6. Korteweg FJ, Gordijn SJ, Timmer A, Erwich JJHM, Bergman KA, Bouman K, et al. The Tulip classification of perinatal mortality: introduction and multidisciplinary inter-rater agreement. BJOG 2006;113:393-401.
7. The WHO application of ICD-10 to deaths during the perinatal period: ICD-PM. Geneva: World Health Organization; 2016. URL: https://apps.who.int/iris/bitstream/handle/10665/249515 /9789241549752 -eng. pdf; jsessionid=A18FDCCE417B827672FB54E387A8CC63?sequence=1. Accessed date: 2020-07-02.
8. Cousens S, Blencowe H, Stanton C, Chou D, Ahmed S, Steinhardt L, et al. National, regional, and worldwide estimates of stillbirth rates in 2009 with trends since 1995: a systematic analysis. Lancet 2011;377:1319-30.
9. Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn JE, et al. Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet 2015;385:430-40.
10. The WHO application of ICD-10 to perinatal deaths: ICD-perinatal mortality (ICD-PM). Geneva: World Health Organization. Available from: http://www.who. int/reproductivehealth/projects/02-ICD-PM.pdf?ua=1 [cited 2015 Dec 18].
11. Allanson ER, Tunçalp O, Gardosi J, Pattinson RC, Francis A, Vogel JP, et al. The WHO application of ICD-10 to deaths during the perinatal period (ICD-PM): results from pilot database testing in South Africa and United Kingdom. BJOG 2016;123:2019-28.
12. Lavin T, Allanson ER, Nedkoff L, Preen DB, Pattinson RC. Applying the international classification of diseases to perinatal mortality data, South Africa. Bull World Health Organ 2018;96:806-16.
13. Luk HM, Allanson E, Ming WK, Leung WC. Improving diagnostic classification of stillbirths and neonatal deaths using ICD-PM (International Classification of Diseases for Perinatal Mortality) codes: validation study. JMIR Med Inform 2020;8:e20071.
14. Aminu M, Mathai M, van den Broek N. Application of the ICD-PM classification system to stillbirth in four sub-Saharan African countries. PLoS One 2019;14:e0215864.
15. Dase E, Wariri O, Onuwabuchi E, Alhassan JAK, Jalo I, Muhajarine N, et al. Applying the WHO ICD-PM classification system to stillbirths in a major referral Centre in Northeast Nigeria: a retrospective analysis from 2010-2018. BMC Pregnancy Childbirth 2020; 20:383.
16. Priyani AAH, Thuvarakan P, de Silva MVC. Classification of perinatal deaths according to ICD-PM: an audit on perinatal post-mortems in a tertiary care centre in Sri Lanka. Sri Lanka J Obstet Gynecol 2017;39:31-5.
17. Ngoc NTN, Merialdi M, AbdelAleem H, Carroli G, Purwar M, Zavaleta N, et al. Causes of stillbirths and early neonatal deaths: data from 7993 pregnancies in six developing countries. Bull World Health Organ 2006;84:699-705.
18. Dagdeviren G, Uysal NS, Dilbaz K, Celen S, Caglar AT. Application of the international classification of diseases-perinatal mortality (ICD-PM) system to stillbirths: a single center experience in a middle income country. J Gynecol Obstet Hum Reprod 2022;51:102285.

ISSN: 2149-3189
Yayın Aralığı: Yılda 6 Sayı
Başlangıç: 2015
Yayıncı: Prusa Medikal Yayıncılık Limited Şirketi

Arşiv