BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

340, Patternsof Mortalityin Childhood
Fla. 171. Infant Deaths from Certain Perinatal
Causes as Underlying Causes Based on Death Certificates
and on Final Assignments in 14 Projects
Combined.
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On 1,910 death certificates immaturity
was the only cause given and thus the
coding was made to category 777. However,
for 1,681 of these deaths information available
from clinical or other records was used
to make a specific assignment. Unfortunately
many physicians fail to realize
the value of stating the specific cause, for
example,maternal condition such as placenta
previa, toxemia, etc. As can be seen in
Table 202, of the deaths attributed only to
immaturity on death certificates, 184 were
assigned to a maternal conditon (categories
760-763), 119 to difficult labor (764-768),
520 to other complications of pregnancy
and childbirth (769), and 128 to conditions
placenta and cord (770, 771). The percentage
distributions of deaths from these
four important causes, showing the assignments
originally made from death certificates,
are presented in Figure 172. These
data show clearly the lack of sufficient information
on these important causes of
infant mortality-knowledge that is essential
as a basis for prevention of these conditions.
TABLE 202. Final Assignments of Infant Deaths from Certain Perinatal Causes, Compared with Un.
derlying Causes Stated on Death Certificates in 14 Projects Combined.
Final assignment
Death certificate cause
Maternal
conditlonsb
(760-703)
Other
Difficult complications
labor pregnancy,
(764-768) childbirth
(769)
Conditions of
placenta, cord
(770, 771)
No.
%
No.
% No. %
No. %
Total deaths ........................................
Oil
100.0 897
100.1 1,473 09.0
648 99.9
Same an final assignment .............................
Birth Injury, cause unspecified ....................
772
Anoxic, hypoxic conditions .......................
776
Immaturity .....................................
777
Other perinatal causes ................. Rest of 760-778
Pneumonia and influenza ..................... 470-486
All other causes ....................................
52
35
165
184
42
55
78
8.5 94
5.7 127
27.0 329
30.1 119
6.0 72
9.0 59
12.8 07
10.5 108 7.3
14.2 41 2.8
36.7 435 20.5
13.3 520 35.3
8.0 117 7.9
6.6 111 7.5
10.8 141 9.0
115 17.7
39 6.0
240 37.0
128 19.8
52 8.0
31 4.8
43 6.6
Includes only deaths with information available from death
b Includes three deaths in 1-4 year age group.
certificates and
from other sources.