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The Russian system of perinatal diagnostics has primarily focused on municipal out-patients departments ("women's consultations"), staffed with specialists in ultrasound diagnostics.
One recommendation for strengthening the current system of perinatal surveillance in Canada through the CPSS concerns the monitoring of economic implications of perinatal care.
A viable classification system of perinatal deaths that can be applied to existing health information systems should incorporate, or at least relate conceptually, to the International Classification of Diseases (ICD) system, serving as an information management tool for registered conditions.
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Several classification systems of perinatal deaths have been developed.
Although the impact of the Dutch perinatal system, as described above, is difficult to substantiate, one study has reported on adverse effects of this system on perinatal outcomes [ 6].
Objective: To validate a newly introduced classification system for the registration of perinatal mortality.
PCC should therefore be regarded as a necessary additional component to the obstetric care system in the improvement of perinatal outcomes.
The Codac system reports the broad classification of perinatal deaths as well (i.e. neonatal, intrapartum and antepartum).
Routine government reporting systems do not facilitate calculation of perinatal mortality rate (PNMR) for institutional births.
Routine health information systems suffer from incorrect reporting of perinatal events owing to incomplete capture, absent or improper linkage, poor case definitions, inadequate demarcation of catchment population, emphasis on passive reporting without supporting validation studies and inadequate clinical documentation.
Unlike well-resourced health systems, there is increased risk of perinatal death among the twins and higher order births compared to singleton births in settings with poor quality maternity services [ 24].
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