BMJ 1998;317:539 ( 22 August )

Letters

Scottish data on intrapartum related deaths are in same direction as Welsh data

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EDITOR---Stewart et al studied deaths related to intrapartum asphyxia in Wales and found that mortality was higher in babies born at night; during the holiday months of July and August; during February and August, when junior staff rotate to new posts; and towards the end of the week (although the latter two measures were not significant).1 We have attempted to replicate their study, using records relating to births in Scotland during the same period (1993-5). Because of differences between Scottish and Welsh schools' academic terms, the peak holiday period in Scotland is a few weeks earlier than that in Wales. We therefore hypothesised that the effect of annual leave would arise in July alone.

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Scotland does not use the confidential inquiry into stillbirths and deaths in infancy; instead, it uses a slightly different system, the Scottish stillbirth and infant death inquiry. This derives detailed information concerning all stillbirths . . . [Full text of this article]


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Relevant Article

Numbers of deaths related to intrapartum asphyxia and timing of birth in all Wales perinatal survey, 1993-5
Jane H Stewart, Joan Andrews, and Patrick H T Cartlidge
BMJ 1998 316: 657-660. [Abstract] [Full Text] [PDF]

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