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J R Soc Med. 1984 July; 77(7): 567–571.
PMCID: PMC1439960

Variations in perinatal mortality in Gloucestershire: preliminary communication.


The perinatal mortality rate (PNMR) was calculated for each rural parish in Gloucestershire for the years 1968-79. The characteristics of high- and low-rate parishes (each set comprising about 10% of all births) were contrasted according to routinely recorded fetal, maternal and environmental variables. The overall PNMR in the high-rate set was six times higher than in the low-rate set; congenital malformations and low birth weight distribution could explain about one-third of this difference but the residue was not attributable to fetal gestation, maternal age or parity or social class as may have been expected. However, there was a strong association with population and housing density. It is suggested that comparisons within districts may provide more sensitive associations with PNMR than comparisons between districts, regions and countries.

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Selected References

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  • Bakketeig LS, Hoffman HJ, Sternthal PM. Obstetric service and perinatal mortality in Norway. Acta Obstet Gynecol Scand Suppl. 1978;77:3–19. [PubMed]
  • Chamberlain G. Background to perinatal health. Lancet. 1979 Nov 17;2(8151):1061–1063. [PubMed]
  • Gordon RR. Neonatal mortality in Avon. Br Med J (Clin Res Ed) 1981 Mar 28;282(6269):1071–1072. [PMC free article] [PubMed]
  • Hemminki K, Niemi ML, Saloniemi I, Vainio H, Hemminki E. Spontaneous abortions by occupation and social class in Finland. Int J Epidemiol. 1980 Jun;9(2):149–153. [PubMed]
  • Illingworth RS. Why blame the obstetrician? A review. Br Med J. 1979 Mar 24;1(6166):797–801. [PMC free article] [PubMed]
  • McIlwaine GM, Howat RC, Dunn F, Macnaughton MC. The Scottish perinatal mortality survey. Br Med J. 1979 Nov 3;2(6198):1103–1106. [PMC free article] [PubMed]
  • Mutch Lesley M M, Brown Norman, Lashford AM, Dunn Peter M, Spiedel BD. Neonatal mortality in Avon. Br Med J (Clin Res Ed) 1981 Mar 28;282(6269):b1071–1072. [PMC free article]
  • PLEYDELL MJ. Anencephaly and other congenital abnormalities. An epidemiological study in Northamptonshire. Br Med J. 1960 Jan 30;1(5169):309–315. [PMC free article] [PubMed]
  • Taylor GW, Edgar W, Taylor BA, Neal DG. How safe is general practitioner obstetrics? Lancet. 1980 Dec 13;2(8207):1287–1289. [PubMed]

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