Use of Child Loss Data in Evolving Priorities in Maternal Health Services

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Abstract
To study the use of perinatal death rates in suggesting priorities in maternal health services, an analysis was made of the relationships of perinatal death rates to a combination of factors: age of mother, number of previous children, and previous child loss. Perinatal death rates among offspring of women with single deliveries in Upstate New York in 1951 were calculated for each 5-year age group of mothers according to number of previous children born to these mothers and number of previous child losses they had suffered. Perinatal death rates (for the 3 factors combined) were arranged in ascending order and divided into quartiles. The higher risk quartiles (3 and 4) were considered to have higher priorities for service. These higher risk groups, comprising only 8% of all deliveries, were responsible for 18% of perinatal deaths.

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