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demographic yearbook annuaire demographique 1951

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Table 8 presents for 33 areas birth rates specific for age<br />

of mother. These data refer to the period 1936-1949 and<br />

were derived from statistics of births classified by age of<br />

mother and statistics of the female population classified by<br />

age. For these computations, births to mothers of unknown<br />

age were distributed proportionately among births to mothers<br />

of known age. The rate is the number of live births to<br />

mothers in a specified group (adjusted to include the<br />

unknown) per 1,000 women of that age group. Population<br />

of unknown age does not enter into the computation, as the<br />

birth rate for "all ages" shown in this table is an age-limited<br />

rate, including births at all ages, but based on the female<br />

population 10 to 49 years old. The rates for the initial and<br />

terminal groups are based on the population 10 to 14 and<br />

45 to 49 respectively, since only a negligible fraction of all<br />

births occur among women under 10 or over 50 years of age.<br />

The totals on which the rates are based do not always<br />

agree with the totals shown in table 6, chiefly because of<br />

differences in the basis of tabulation. These differences have<br />

some bearing on the comparability of the data. For example,<br />

certain countries tabulate only legitimate births by age of<br />

mother. Where illegitimate births are relatively numerous,<br />

the data cannot be taken as representative. Similarly, the<br />

distribution of births by age of mother for a few countries<br />

is confined to infants born alive who did not die before<br />

registration, whereas the totals in table 6 include those who<br />

died before registration. Again, the figures given by age<br />

in certain instances refer to deliveries or confinements rather<br />

than to births, in some cases confinements resulting in live<br />

births only, in others confinements resulting in live-born<br />

or stillborn offspring.<br />

Table 9 presents birth rates by order of birth, or parity,<br />

for 23 areas during the period 1936 to 1949. The rate is<br />

the number of births of each birth order per 1,000 women<br />

aged 10 to 49 years. The rate for all birth orders combined<br />

is therefore the same as that shown in table 8 for all ages<br />

combined, except where the data are affected by differences<br />

in coverage. Such differences are explained in the table<br />

notes. Orders from the first to the ninth are shown separately;<br />

the tenth and higher are grouped together.<br />

As in the preceding table, comparability of these data is<br />

limited by differences in treatment of illegitimate births,<br />

multiple births and stillbirths. The principal limiting factor,<br />

however, is that involved in the method used for establishing<br />

birth order. Some countries base the calculation on the<br />

number of previous live births, others on the number of live<br />

births and stillbirths or on the number of confinements<br />

(sometimes including confinements resulting in stillbirths).<br />

In certain countries parity is calculated on the basis of previous<br />

legitimate births only, and in some instances on the<br />

basis of only those legitimate births that occurred during<br />

the existing marriage of the mother. Whenever such limitations<br />

are known, they are stated in footnotes to the table.<br />

STILLBIRTH STATISTICS<br />

Table 10 and table 11 present statistics of stillbirths for the<br />

years 1935 to 1950. These data are subject to severe limitations<br />

with respect to completeness and comparability. Areas<br />

that are known to have generally deficient or irregular vital<br />

registration are indicated in footnotes, but it should be<br />

understood that many countries with relatively adequate<br />

statistics of live births and deaths may have quite inadequate<br />

stillbirth statistics. It would appear that even with a highly<br />

efficient registration system a considerably greater propor-<br />

tion of stillbirths than of live births or of deaths escapes<br />

registration. However, it is difficult to measure or estimate<br />

just what fraction of the total number occurring go unregistered.<br />

Consequently, no precise information on completeness<br />

of coverage is available. Perhaps the most that can be said<br />

is that the coverage of stillbirths in countries where most of<br />

the births occur in hospitals is more complete than in others.<br />

The comparability of stillbirth statistics is strongly affected<br />

by differences in definition, as well as by variations in completeness<br />

of coverage. A stillbirth is generally understood to<br />

be the birth of a viable foetus that shows no signs of life<br />

after delivery. As has already been indicated, certain countries<br />

classify live-born infants dying shortly after birth<br />

("within 24 hours", "immediately", "before registration as<br />

a live birth" etc.) as stillbirths. The relatively few countries<br />

that are known to follow these practices are noted in the<br />

tables. Again, some countries do not consider viability but<br />

classify all foetuses which are reported to have been born<br />

without life as stillbirths. Still further variations arise from<br />

differences in specifications as to what may be accepted as<br />

"signs of life".<br />

Criteria of viability are usually based on the duration of<br />

pregnancy, meaured in days, weeks or months. The minimum<br />

period of gestation specified varies widely, ranging,<br />

according to available information, from 3 to 7 months.<br />

The interval most frequently specified as the minimum is<br />

28 weeks. Some countries have an additional requirement<br />

that the foetus be a minimum length, the minimum specified<br />

ranging from 30 to 35 centimetres. In a number of cases the<br />

only specification is simply that the foetus must be viable<br />

or that it must be recognizable as a human being.<br />

Although full information on how stillbirths are defined<br />

could not be obtained for all the areas and years for which<br />

stillbirth data are shown in this volume, some information<br />

on current practices is available for most of the areas and is<br />

summarized below.<br />

I. Areas specifying a minimum period of gestation:<br />

A. 28 weeks (or 7 months, as indicated)<br />

Africa:<br />

Asia:<br />

Gold Coast [U.K.] Ceylon<br />

Mauritius [U.K.] Federation of Malaya<br />

(7 months) India (some Provinces)<br />

Thailand<br />

America, North:<br />

British Honduras<br />

Canada<br />

Canal Zone [U.S.]<br />

Costa Rica<br />

Dominican Republic<br />

Guatemala<br />

Honduras<br />

Mexico<br />

Trinidad and Tobago<br />

[U.K.]<br />

America, South:<br />

Bolivia<br />

British Guiana<br />

Chile (beginning<br />

1944)<br />

Ecuador (beginning<br />

1945)<br />

Paraguay<br />

Peru<br />

Europe:<br />

Bulgaria<br />

Denmark<br />

Hungary<br />

Iceland<br />

Netherlands (beginning<br />

1950)<br />

Norway<br />

Romania (6Yz months)<br />

Sweden<br />

United Kingdom:<br />

England and<br />

Wales<br />

Scotland<br />

Yugoslavia<br />

Oceania:<br />

New Zealand<br />

32

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