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AJPH First Look, published online ahead of print Sep 29, 2005
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©
American Journal of Public Health, 10.2105/AJPH.2004.044305

Research and Practice

Validity of Maternal and Perinatal Risk Factors Reported on Fetal Death Certificates

Mona T. Lydon-Rochelle 1*, Jennifer L. Nelson 2, Vicky Cárdenas 1, Kay M. Tomashek 3, Beth A. Mueller 4, Thomas R. Easterling 5

1 University of Washington
2 Center for Health Studies, Group Health Cooperative
3 Maternal and Infant Health Branch, Division of Reproductive Health, CDC
4 Department of Epidemiology, UW
5 Department Obstetrics & Gynecology, UW

* To whom correspondence should be addressed. E-mail: minot{at}u.washington.edu.


  Abstract

Objective: To estimate the accuracy of perinatal risk factors recorded on fetal death certificates relative to maternal medical records. Methods: We conducted a validation study of fetal death certificates among women experiencing fetal deaths between 1996 and 2001. Results: Number of prior births, established diabetes, chronic hypertension, maternal fever, performance of autopsy, anencephaly, and Down syndrome, has very high accuracy. Placental cord conditions and other chromosomal abnormalities were reported inaccurately. Conclusion: Our data indicate further population-based studies are needed to identify strategies to improve fetal death certificate data.

Key Words: Maternal and Infant Health, Birth Outcomes, Pregnancy, Mortality, Surveillance, Statistics/Evaluation/Research




This article has been cited by other articles:


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Effect of Late-Preterm Birth and Maternal Medical Conditions on Newborn Morbidity Risk
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[Abstract] [Full Text] [PDF]


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