Total perinatal wastage. A clarification of priorities

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Abstract
The pregnancy outcome of 16,971 women carrying 17,352 living fetuses after 16 weeks gestation was studied [in Bristol, England, UK]. As well as recording perinatal deaths, all losses before 28 weeks and up to one year after delivery were recorded to give a total perinatal wastage rate of 21.6 per 1000 fetuses alive at 16 weeks compared with a perinatal mortality rate (stillbirths plus early neonatal deaths) of 7.8 per 1000 births. All deaths were then classified according to pathological sub-groups. The concept of auditing perinatal care using perinatal mortality was then compared with that using total perinatal wastage.

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