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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