[Higher perinatal mortality in The Netherlands than in other European countries: the Peristat-II study].
OBJECTIVE
Comparison of perinatal mortality in The Netherlands with that in other European countries (Peristat-II), and with data collected 5 years previously (Peristat-I).


METHODS
Descriptive study.


METHODS
Indicators ofperinatal mortality which were developed for Peristat-I were used again in Peristat-II. Data on perinatal mortality in 2004 were delivered by 26 European countries. The Dutch data originated from national registers of midwives and gynaecologists and the National Neonatology Register.


RESULTS
In Peristat-I, from 22 weeks gestation, The Netherlands had the highest fetal mortality rate (7.4 per 1,000 total number of births). Furthermore, after Greece, The Netherlands had the highest early neonatal mortality rate (3.5 per 1,000 live births). In Peristat-II from 22 weeks gestation, after France, The Netherlands had the highest fetal mortality rate (7.0 per 1,000 total number of births). Of all western European countries, The Netherlands had the highest early neonatal mortality rate (3.0 per 1,000 live births). Over the past 5 years the perinatal mortality rate in The Netherlands has dropped from 10.9 to 10.0 per 1,000 total births but this drop has been faster in other countries.


CONCLUSIONS
The Netherlands has a relatively high number of older mothers and multiple pregnancies, but this only partly explains the high Dutch perinatal mortality rate which still ranks unfavourably in the European tables. More research is necessary to gain insight into the prevalence of risk factors for perinatal mortality compared with other European countries. In addition, perinatal health and the quality ofperinatal healthcare deserve a more prominent position in Dutch research programmes.
Mohangoo
A D
AD
TNO Kwaliteit van Leven, Preventie en Zorg, sector Voortplanting en Perinatologie, Postbus 2215, 2301 CE Leiden. ashna.mohangoo@tno.nl
Buitendijk
S E
SE
Hukkelhoven
C W P M
CW
Ravelli
A C J
AC
Rijninks-van Driel
G C
GC
Tamminga
P
P
Nijhuis
J G
JG
D005060:Europe / Q000453:epidemiology; D005260:Female; D046689:Fetal Mortality / Q000639:trends; D006801:Humans; D007226:Infant Mortality / Q000639:trends; D007231:Infant, Newborn; D008297:Male; D008423:Maternal Age; D009426:Netherlands / Q000453:epidemiology; D009774:Obstetrics / Q000592:standards* / Q000706:statistics & numerical data*; D018743:Perinatal Care / Q000592:standards*; D054238:Perinatal Mortality / Q000639:trends; D011247:Pregnancy; D011787:Quality of Health Care; D012042:Registries