NSW Perinatal Death Review Database NSW Ministry of Health Background The Perinatal Death Review (PDR) Database includes information on about 800 perinatal deaths per year. Perinatal deaths include: for 2000 to 2005, all perinatal deaths in New South Wales of at least 500 grams birth weight or 22 weeks gestation; and for 2006 and subsequent years, stillbirths of at least 400 grams birth weight or 20 weeks gestation and all neonatal deaths. The information is obtained from confidential reviews carried out by the NSW Maternal and Perinatal Committee, which is a quality assurance committee appointed by the Minister for Health to review perinatal morbidity and mortality in NSW. Deaths are classified according to the Perinatal Mortality Classifications of the Perinatal Society of Australia and New Zealand. A description of procedures for collection of data and the perinatal death review process may be obtained from the Ministry of Health website at: http://www0.health.nsw.gov.au/policies/PD/2011/PD2011_076.html. Data currently available for inclusion in linkage studies are from 2000 to 2009. Coverage of perinatal deaths in NSW The PDR covers perinatal deaths occurring in NSW. The PDR includes deaths of liveborn babies who were born interstate, and sometimes overseas, and transferred for care in NSW hospitals. The PDR does not include deaths of babies born in NSW who were transferred interstate for care. The NSW Maternal and Perinatal Committee reviews and classifies 90-95% of all perinatal deaths occurring in NSW hospitals each year. The PDR data should not be used to ascertain the number of perinatal deaths in NSW. The PDR may be used as a source of information on cause of death in record linkage studies. 1 NSW Perinatal Death Review Database Updated June 2015 Data custodian Lee Taylor Associate Director, Epidemiology and Biostatistics Centre for Epidemiology and Evidence NSW Ministry of Health Locked Mail Bag 961 NORTH SYDNEY NSW 2059 Phone: 02 9391 9223 Fax: 02 9391 9232 E-mail: ltayl@doh.health.nsw.gov.au References 1 New South Wales Mothers and Babies Report 2010. Available at http://www.health.nsw.gov.au/hsnsw/Publications/mothers-and-babies-2010.pdf 2 NSW Perinatal Death Review Database Updated June 2015 NSW Perinatal Death Review Database – Variable information Variable Type of perinatal death Description/Notes Stillbirth or neonatal death Codes 1 = Stillbirth 2 = Neonatal death 9 = Not stated Postcode Date of birth Date of death Age at death in days Age at death in hours Baby’s sex Postcode of residence of the mother Date of birth Date of death Reported for neonatal deaths only Reported for neonatal deaths only Birth weight Gestational age Plurality Baby birth weight in grams Gestational age in completed weeks The number of fetuses or babies from the pregnancy. On this basis pregnancy may be classified as single or multiple. Birth order The order of birth 1 = Male 2 = Female 3 = Indeterminate 9 = Unknown Onset of labour 3 NSW Perinatal Death Review Database Updated June 2015 1 = Singleton 2 = Twins 3 = Triplets etc 9 = Not stated 1 = First 2 = Second 3 = Third etc 9 = Not stated 1 = Spontaneous 2 = Induced 3 = No labour 9 = Not stated Variable Type of delivery Description/Notes When did the death occur? Whether the death occurred prior to the onset of labour, during labour or after birth Hospital of birth Hospital of death Classification of obstetric cause Available for 2000-2001 of death Classification of obstetric cause Available for 2002-2005 of death PSANZ perinatal death Available for 2006 onwards classification PSANZ perinatal death classification associated condition 1 PSANZ perinatal death classification associated condition 2 4 Codes 1=Normal vaginal 2=Forceps 3=Ventouse 4=Vaginal breech 5=Caesarean section 6=Dilatation and evacuation 8=other 9=Not stated 1=Before the onset of labour 2=During labour 3=Before birth, unknown time 4=After birth 9= Not stated Code lists are updated regularly. If information on specific facilities is required, these should be specified by name. Code lists are updated regularly. If information on specific facilities is required, these should be specified by name. See Attachment 1 - Classification of obstetric cause of death, 2000-2001 See Attachment 2 - Classification of obstetric cause of death, 2002-2005 See Attachment 6 - PSANZ perinatal death classification 2006 Available for 2006 onwards See Attachment 6 Available for 2006 onwards See Attachment 6 NSW Perinatal Death Review Database Updated June 2015 Variable Main cause of Neonatal Death Description/Notes Available for 2000-2001 Available for 2006 onwards Codes See Attachment 4 - Main cause of neonatal death 20002001 See Attachment 5 - Main cause of neonatal death 20022005 See Attachment 3 - PSANZ neonatal death classification 2006 See Attachment 3 Main cause of Neonatal Death Available for 2002-2005 PSANZ neonatal death classification PSANZ neonatal death classification associated condition 1 PSANZ neonatal death classification associated condition 2 Perinatal death review by interdisciplinary committee? Available for 2006 onwards Available for 2006 onwards See Attachment 3 0 = No 1 = Yes 9 = Not stated 0 = No 1 = Yes 9 = Not stated 0 = No 1 = Yes 9 = Not stated Was a post mortem examination carried out? Was histopathological examination of placenta carried out? Placental weight 5 Placental weight in grams NSW Perinatal Death Review Database Updated June 2015 Attachment 1 - Classification of obstetric cause of death, 2000-2001 1.1 1.2 1.3 1.4 1.5 1.6 10.1 10.2 10.3 11.0 11.1 11.2 11.3 11.4 11.5 11.6 11.7 11.8 11.9 12.1 12.2 12.3 12.4 12.5 12.6 12.8 12.9 2. 3. 4. 5.0 5.1 5.2 5.3 5.4 5.5 5.6 6.0 6.1 6.2 6.3 7.0 7.1 6 Spontaneous preterm < 37 weeks - Multiple pregnancy Spontaneous preterm < 37 weeks - Previous bleeding Spontaneous preterm < 37 weeks - Previous spontaneous rupture of membranes > 12 hours before labour Spontaneous preterm < 37 weeks - Cervical incompetence Spontaneous preterm < 37 weeks - Other, eg uterine malformation Spontaneous preterm < 37 weeks - Idiopathic Haemolytic disease - rhesus incompatability Haemolytic disease - Other feto-maternal blood group incompatability (eg Kell) Haemolytic disease - Haemoglobinopathy Infection - unspecified Infection - Streptococcus, Group B Infection - E. Coli Infection - Other bacterial Infection - Toxoplasma Infection - Syphilis Infection - Cytomegalovirus Infection - Other viral Infection - Fungal Infection - Other Non-immune hydrops Feto-maternal haemorrhage Twin-to-twin transfusion Accident, poisoning or violence (postnatal) SIDS Maternal drug dependence/abuse Unknown/ unexplained Other Intrauterine growth restriction (IUGR) Unexplained intrauterine death Birth trauma >= 1.5 kg Intrapartum asphyxia >= 1.5 kg - Vaginal delivery Intrapartum asphyxia >= 1.5 kg - Cord complications Intrapartum asphyxia >= 1.5 kg - Breech delivery Intrapartum asphyxia >= 1.5 kg - Caesarean section Intrapartum asphyxia >= 1.5 kg - Forceps delivery Intrapartum asphyxia >= 1.5 kg - Ventouse delivery Intrapartum asphyxia >= 1.5 kg - Other delivery / unspecified Hypertension - unspecified Hypertension - pre-existing hypertension Hypertension - pre-eclamptic toxaemia (PET) Hypertension - Pre-existing + PET Maternal disease - unspecified Maternal disease - maternal injury NSW Perinatal Death Review Database Updated June 2015 7.2 7.3 7.4 7.5 7.8 7.9 8.1 8.2 8.3 8.4 9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 7 Maternal disease - abdominal operation Maternal disease - diabetes / gestational diabetes Maternal disease - malignancy Maternal disease - infection Maternal disease - maternal death Maternal disease - other Antepartum haemorrhage - placental abruption Antepartum haemorrhage - placenta praevia Antepartum haemorrhage - APH undetermined origin Antepartum haemorrhage - vasa praevia Fetal abnormality - central nervous system Fetal abnormality - cardiovascular system Fetal abnormality - urinary tract Fetal abnormality - gastrointestinal tract Fetal abnormality - chromosomal Fetal abnormality - metabolic Fetal abnormality - multiple Fetal abnormality - other NSW Perinatal Death Review Database Updated June 2015 Attachment 2 - Classification of obstetric cause of death, 2002-2005 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.81 1.82 1.83 1.84 1.9 10.1 10.11 10.12 10.13 10.14 10.15 10.2 10.3 10.4 10.9 11.11 11.12 11.2 11.3 11.4 11.8 11.9 2.11 2.12 2.13 2.18 2.19 2.21 2.22 2.23 2.24 2.28 2.29 8 Congenital abnormality - Central nervous system Congenital abnormality - Cardiovascular system Congenital abnormality - Urinary tract Congenital abnormality - Gastrointestinal tract Congenital abnormality - Chromosomal Congenital abnormality - Metabolic Congenital abnormality - Multiple Congenital abnormality - Other Musculoskeletal Respiratory Diaphragmatic Other Congenital abnormality - Unspecified Unexplained antepartum death - With evidence of uteroplacental insufficiency Unexplained antepartum death - With evidence of uteroplacental insufficiency - placental or laboratory evidence of thrombophilia Unexplained antepartum death - With evidence of uteroplacental insufficiency - smoking Unexplained antepartum death - With evidence of uteroplacental insufficiency - substance use eg cocaine, amphetamines Unexplained antepartum death - With evidence of uteroplacental insufficiency - alcohol Unexplained antepartum death - With evidence of uteroplacental insufficiency - diabetes / gestational diabetes Unexplained antepartum death - With chronic villitis Unexplained antepartum death - Without the above placental pathology Unexplained antepartum death - No examination of the placental Unexplained antepartum death - Unspecified or not known whether placenta examined No obstetric antecedent - SIDS - Consisent with SIDS No obstetric antecedent - SIDS - Possible SIDS No obstetric antecedent - Postnatally acquired infection No obstetric antecedent - Accidental asphyxiation No obstetric antecedent - Other accident, poisoning or violence (postnatal) No obstetric antecedent - Other No obstetric antecedent - Unknown/Unexplained Perinatal infection - Group B Streptococcus Perinatal infection - E Coli Perinatal infection - Listeria Monocytogenes Perinatal infection - Other bacterial Perinatal infection - Unspecified bacterial Perinatal infection - Cytomegalovirus Perinatal infection - Parvovirus Perinatal infection - Herpes simplex virus Perinatal infection - Rubella virus Perinatal infection - Other viral Perinatal infection - Unspecified viral NSW Perinatal Death Review Database Updated June 2015 2.3 2.4 2.5 2.6 2.7 3.1 3.2 3.3 3.4 3.5 3.51 3.6 3.61 3.7 4.1 4.11 4.12 4.13 4.2 4.3 4.8 4.9 5.1 5.2 5.31 5.32 5.4 5.8 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 7.11 7.12 7.13 7.18 7.2 7.9 8.1 8.11 8.12 9 Perinatal infection - Protozoal eg Toxoplasma Perinatal infection - Spirochaetal eg Syphilis Perinatal infection - Fungal Perinatal infection - Other Perinatal infection - Unspecified organism Hypertension - Chronic - Essential Hypertension - Chronic - Secondary eg renal disease Hypertension - Unspecified Hypertension - Gestational Hypertension - Pre-eclampsia Pre-eclampsia with placental or laboratory evidence of thrombophilia Hypertension - Pre-eclampsia + pre-existing hypertension Pre-eclampsia superimposed on chronic hypertension - placental or laboratory evidence of thrombophilia Hypertension - Unspecified Antepartum haemorrhage - Placental abruption Placental abruption - placental or laboratory evidence of thrombophilia Placental abruption - smoking Placental abruption - substance abuse eg cocaine amphetamines Antepartum haemorrhage - Placenta praevia Antepartum haemorrhage - Vasa praevia Antepartum haemorrhage - Other Antepartum haemorrhage - Undertemined origin Maternal disease - Temination of pregnancy (for other than fetal congenital abnormality) Maternal disease - Diabetes/ Gestational diabetes Maternal disease - Injury - Accidental Maternal disease - Injury - Non-Accidental Maternal disease - Sepsis Maternal disease - Other Perinatal conditions - Twin-to-twin transfusion Perinatal conditions - Fetomaternal haemorrhage Perinatal conditions - Antepartum cord complications Perinatal conditions - Uterine abnormality Perinatal conditions - Birth trauma Perinatal conditions - Haemolytic disease Perinatal conditions - Idiopathic hydrops Perinatal conditions - Other Hypoxic peripartum death with intrapartum complications - Uterine rupture Hypoxic peripartum death with intrapartum complications - Cord prolapse Hypoxic peripartum death with intrapartum complications - Shoulder dystocia Hypoxic peripartum death with intrapartum complications - Other Hypoxic peripartum death - no intrapartum complications Hypoxic peripartum death - unspecified FGR - With uteroplacental insufficiency FGR - With uteroplacental insufficiency - with placental or laboratory evidence of thrombophilia FGR - With uteroplacental insufficiency - smoking NSW Perinatal Death Review Database Updated June 2015 8.12 8.12 8.12 8.2 8.3 8.4 8.9 9.11 9.12 9.13 9.19 9.21 9.22 9.23 9.29 9.31 9.32 9.33 9.39 10 FGR - With uteroplacental insufficiency - substance abuse eg cocaine, amphetamines FGR - With uteroplacental insufficiency - alcohol FGR - With uteroplacental insufficiency - diabetes/gestational diabetes FGR - With chronic villitis FGR - Without the above placental pathology FGR - No examination of placenta FGR - Unspecified FGR or not known whether placenta examined Spontaneous preterm - Membrane rupture less than 24 hours before delivery - With chorioamnionitis Spontaneous preterm - Membrane rupture less than 24 hours before delivery - Without chorioamnionitis Spontaneous preterm - Membrane rupture less than 24 hours before delivery - No examination of the placenta Spontaneous preterm - Membrane rupture less than 24 hours before delivery - Unspecified or not known whether placenta examined Spontaneous preterm - Membrane rupture greater than or = 24 hours before delivery - With chorioamnionitis Spontaneous preterm - Membrane rupture greater than or =24 hours before delivery - Without chorioamnionitis Spontaneous preterm - Membrane rupture greater than or = 24 hours before delivery - No examination of the placenta Spontaneous preterm - Membrane rupture greater than or = 24 hours before delivery - Unspecified or not known whether placenta examined Spontaneous preterm - Membrane rupture of unknown duration - With chorioamnionitis Spontaneous preterm - Membrane rupture of unknown duration - Without chorioamnionitis Spontaneous preterm - Membrane rupture of unknown duration - No examination of the placenta Spontaneous preterm - Membrane rupture of unknown duration - Unspecified or not known whether placenta examined NSW Perinatal Death Review Database Updated June 2015 Attachment 3 - PSANZ neonatal death classification 2006 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.81 1.82 1.83 1.84 1.85 1.88 1.89 1.9 2.1 2.2 2.9 3.1 3.2 3.3 3.4 3.5 3.8 4.11 4.12 4.21 4.22 4.3 4.4 4.5 4.8 4.9 5.1 or > 5.2 5.8 6.1 6.8 7.11 7.12 7.13 7.2 11 Congenital abnormality - Central nervous system Congenital abnormality - Cardiovascular system Congenital abnormality - Urinary system Congenital abnormality - Gastrointestinal system Congenital abnormality - Chromosomal Congenital abnormality - Metabolic Congenital abnormality - Multiple/non chromosomal syndromes Congenital abnormality - Other Congenital abnormality - Other - Musculoskeletal Congenital abnormality - Other - Respiratory Congenital abnormality - Other - Diaphragmatic hernia Congenital abnormality - Other - Haematological Congenital abnormality - Other - Tumours Congenital abnormality - Other - Other specified congenital abnormality Congenital abnormality - Other - Other Congenital abnormality - Unspecified Extreme prematurity - Not resusticated Extreme prematurity - Unsuccessful resuscitation Extreme prematurity - Unspecified or unknown whether resuscitation attempted Cardio-respiratory disorders - Hyaline membrane disease / Respiratory distress syndrome Cardio-respiratory disorders - Meconium aspiration syndrome Cardio-respiratory disorders - Primary persistent pulmonary hypertension Cardio-respiratory disorders - Pulmonary hypoplasia Cardio-respiratory disorders - Chronic neonatal lung disease (typically, bronchopulmonary dysplasia) Cardio-respiratory disorders - Other Infection - Congenital bacterial Infection - Acquired bacterial Infection - Congenital viral Infection - Acquired viral Infection - Protozoal eg Toxoplasma Infection - Spirochaetal eg Syphilis Infection - Fungal Infection - Other Infection - Unspecified organism Neurological - Hypoxic ischaemic encephalopathy / perinatal asphyxia (typically > 24 weeks gestation 600 grams birthweight) Neurological - Intracranial haemorrhage Neurological - Other Gastrointestinal - Necrotising enterocolitis Gastrointestinal - Other Other - SIDS - SIDS Category lA Other - SIDS - SIDS Category IB Other - SIDS - SIDS Category Il Other - Multisystem failure - only if unknown primary cause or trigger event NSW Perinatal Death Review Database Updated June 2015 7.3 7.8 7.9 7.91 7.92 12 Other - Trauma Other - Other specified Other - Undetermined / Unknown Other - Undetermined / Unknown - Unclassified SIDS Other - Undetermined / Unknown - Other unknown/undetermined NSW Perinatal Death Review Database Updated June 2015 Attachment 4 – Main cause of neonatal death 2000-2001 1.0 1.1 1.2 2.0 3.1 3.2 3.3 4.1 4.2 4.3 4.4 4.5 5.1 5.2 6.0 7.1 7.2 7.3 7.4 7.5 7.6 7.9 8.0 9.0 Extreme Prematurity : life support not stated Extreme Prematurity : life support initiated Extreme Prematurity : life support not initiated Congenital Abnormality Neurological : Asphyxia Neurological : Haemorrhage Neurological : Other Cardio-respiratory : Hyaline membrane disease Cardio-respiratory : Aspiration pneumonia Cardio-respiratory : Air leak Cardio-respiratory : Persistent pulmonary hypertension Cardio-respiratory : Other Gastrointestinal : Necrotising enterocolitis Gastrointestinal : Other Metabolic/ Endocrine Infection : Congenital bacterial Infection : Congenital viral Infection : Acquired bacterial Infection : Acquired viral Infection : Toxoplasma Infection : Other Infection : Not stated Other Not stated 13 NSW Perinatal Death Review Database Updated June 2015 Attachment 5 – Main cause of neonatal death 2002-2005 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.84 1.85 1.86 1.89 1.9 2.1 2.2 2.9 3.1 3.2 3.3 3.4 3.5 3.8 4.11 4.12 4.21 4.22 4.3 4.4 4.5 4.8 4.9 5.1 5.2 5.8 6.1 6.8 7.11 7.12 7.2 7.3 7.8 7.9 Congenital abnormality - Central nervous system Congenital abnormality - Cardiovascular system Congenital abnormality - Urinary tract Congenital abnormality - Gastrointestinal tract Congenital abnormality - Chromosomal Congenital abnormality - Metabolic Congenital abnormality - Multiple Congenital abnormality - Other Congenital abnormality - Other - Musculoskeletal Congenital abnormality - Other - Respiratory Congenital abnormality - Other - Diaphragmatic hernia Congenital abnormality - Other - Other Congenital abnormality - Unspecified Extreme prematurity - Not resuscitated Extreme prematurity - Unsuccessful resuscitation Extreme prematurity - Unspecified or unknown whether resuscitation attempted Cardio-respiratory disorders - Hyaline membrane disease / Respiratory distress syndrome Cardio-respiratory disorders - Meconium aspiration syndrome Cardio-respiratory disorders - Primary persistent pulmonary hypertension Cardio-respiratory disorders - Pulmonary hypoplasia Cardio-respiratory disorders - Chronic neonatal lung disease (typically, bronchopulmonary dysplasia) Cardio-respiratory disorders - Other Infection - Congenital bacterial Infection - Acquired bacterial Infection - Congenital viral Infection - Acquired viral Infection - Protozoal eg Toxoplasma Infection - Spirochaetal eg Syphilis Infection - Fungal Infection - Other Infection - Unspecified organism Neurological - Hypoxic ischaemic encephalopathy / perinatal asphyxia (typically > 24 weeks gestation or > 600 grams birthweight) Neurological - Intracranial haemorrhage Neurological - Other Gastrointestinal - Necrotising enterocolitis Gastrointestinal - Other Other - SIDS - Consistent with SIDS Other - SIDS - Possible SIDS Other - Multisystem failure - only if unknown primary cause or trigger event Other - Trauma Other - Other Other - Undetermined / Unknown 14 NSW Perinatal Death Review Database Updated June 2015 Attachment 6 – PSANZ perinatal death classification 2006 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.81 1.82 1.83 1.84 1.85 1.88 1.9 10.1 10.2 10.3 10.7 10.8 10.9 11.11 11.12 11.13 11.2 11.3 11.4 11.8 11.9 11.91 11.92 2.1 2.11 2.12 2.13 2.14 2.18 2.19 2.21 2.22 2.23 2.24 2.28 15 Congenital abnormality - Central nervous system Congenital abnormality - Cardiovascular system Congenital abnormality - Urinary system Congenital abnormality - Gastrointestinal system Congenital abnormality - Chromosomal Congenital abnormality - Metabolic Congenital abnormality - Multiple/non chromosomal syndromes Congenital abnormality - Other Musculoskeletal Respiratory Diaphragmatic hernia Haematological Tumours Other specified congenital abnormality Congenital abnormality - Unspecified Unexplained antepartum death - With evidence of reduced vascular perfusion on Doppler studies and/or placental histopathology Unexplained antepartum death - With chronic villitis Unexplained antepartum death - No placental pathology Unexplained antepartum death - No examination of placenta Unexplained antepartum death - Unspecified or not known whether placenta examined Unexplained antepartum death - Unspecified or not known whether placenta examined No obstetric antecedent - SIDS - SIDS Category lA No obstetric antecedent - SIDS - SIDS Category lB No obstetric antecedent - SIDS - SIDS Category ll No obstetric antecedent - Postnatally acquired infection No obstetric antecedent - Accidental asphyxiation No obstetric antecedent - Other accident, poisoning or violence (postnatal) No obstetric antecedent - Other spedified No obstetric antecedent - Unknown/Unexplained No obstetric antecedent - Unknown/Unexplained - unclassified SIDS No obstetric antecedent - Unknown/Unexplained - other unknown/undetermined Bacterial Perinatal infection - Bacterial - Group B Streptococcus Perinatal infection - Bacterial - E Coli Perinatal infection - Bacterial - Listeria Monocytogenes Perinatal infection - Bacterial - Spirochaetal eg. Syphyllis Perinatal infection - Bacterial - Other bacterial Perinatal infection - Bacterial - Unspecified bacterial Perinatal infection - Viral - Cytomegalovirus Perinatal infection - Viral - Parvovirus Perinatal infection - Viral - Herpes simplex virus Perinatal infection - Viral - Rubella virus Perinatal infection - Viral - Other viral NSW Perinatal Death Review Database Updated June 2015 2.29 2.3 2.5 2.8 2.9 3.1 3.2 3.3 3.4 3.5 3.51 3.6 3.61 3.9 4.1 4.11 4.2 4.3 4.8 4.9 5.1 5.2 5.3 5.31 5.32 5.4 5.5 5.6 5.8 6.1 6.2 6.3 6.4 6.5 6.6 6.61 6.62 6.63 6.64 6.68 6.69 6.7 6.8 7.11 7.12 7.13 16 Perinatal infection - Viral - Unspecified viral Perinatal infection - Protozoal eg Toxoplasma Perinatal infection - Fungal Other specified organism Other unspecified organism Hypertension - Chronic - Essential Hypertension - Chronic - Secondary eg renal disease Hypertension - Chronic - Unspecified Hypertension - Gestational Hypertension - Pre-eclampsia Pre-eclampsia - placental or laboratory evidence of thrombophilia Hypertension - Pre-eclampsia + pre-existing hypertension Pre-eclampsia superimposed on chronic hypertension - placental or laboratory evidence of thrombophilia Hypertension - Unspecified Antepartum haemorrhage - Placental abruption Placental abruption - placental or laboratory evidence of thrombophilia Antepartum haemorrhage - Placenta praevia Antepartum haemorrhage - Vasa praevia Antepartum haemorrhage - Other Antepartum haemorrhage - Undertemined origin Maternal disease - Temination of pregnancy for maternal psychosocial indications Maternal disease - Diabetes/ Gestational diabetes Maternal Injury Maternal disease - Injury - Accidental Maternal disease - Injury - Non-Accidental Maternal disease - Sepsis Maternal disease - Lupus obstetric syndrome Maternal disease - Obstetric cholestasis Maternal disease - Other specified maternal conditions Perinatal conditions - Twin-to-twin transfusion Perinatal conditions - Fetomaternal haemorrhage Perinatal conditions - Antepartum cord complications Perinatal conditions - Uterine abnormality Perinatal conditions - Birth trauma Perinatal conditions - Alloimmune disease Perinatal conditions - Alloimmune disease - Rhesus Perinatal conditions - Alloimmune disease - ABO Perinatal conditions - Alloimmune disease - Kell Perinatal conditions - Alloimmune disease - Alloimmune thrombocytopenia Perinatal conditions - Alloimmune disease - Other Perinatal conditions - Alloimmune disease - Unspecified Perinatal conditions - Idiopathic hydrops Perinatal conditions - Other Hypoxic peripartum death with intrapartum complications - Uterine rupture Hypoxic peripartum death with intrapartum complications - Cord prolapse Hypoxic peripartum death with intrapartum complications - Shoulder dystocia NSW Perinatal Death Review Database Updated June 2015 7.18 7.2 7.3 7.9 8.1 8.2 8.3 8.4 8.8 8.9 9.1 9.11 9.12 9.13 9.17 9.19 9.2 9.21 9.22 9.23 9.27 9.29 9.3 9.31 9.32 9.33 9.37 9.39 17 Hypoxic peripartum death with intrapartum complications - Other Hypoxic peripartum death - Evidence of non-reassuring fetal status in a normally grown infant Hypoxic peripartum death - no intrapartum complications and no evidence of non-reassuring fetal status Hypoxic peripartum death - unspecified FGR - With evidence of reduced vascular perfusion on Doppler studies and/or placental histopathology FGR - With chronic villitis FGR - No placental pathology FGR - No examination of placenta FGR - Other specified placental pathology FGR - Unspecified FGR or not known whether placenta examined Spontaneous preterm with intact membranes, or membrane rupture <24 hours before delivery Spontaneous preterm - Membrane rupture less than 24 hours before delivery - With chorioamnionitis Spontaneous preterm - Membrane rupture less than 24 hours before delivery - Without chorioamnionitis Spontaneous preterm - Membrane rupture less than 24 hours before delivery - clinical evidence of choriamnionitis, no examination of the placenta Spontaneous preterm - Membrane rupture less than 24 hours before delivery - no clinical evidence of choriamnionitis, no examination of the placenta Spontaneous preterm - Membrane rupture less than 24 hours before delivery - Unspecified or not known whether placenta examined Spontaneous preterm with membrane rupture =>24 hours before delivery Spontaneous preterm - Membrane rupture greater than or = 24 hours before delivery - With chorioamnionitis Spontaneous preterm - Membrane rupture greater than or =24 hours before delivery - Without chorioamnionitis Spontaneous preterm - Membrane rupture greater than or = 24 hours before delivery - No examination of the placenta Spontaneous preterm - Membrane rupture greater than or = 24 hours before delivery - No clinical evidence of chorioamnionitis -No examination of the placenta Spontaneous preterm - Membrane rupture greater than or = 24 hours before delivery - Unspecified or not known whether placenta examined Spontaneous pretterm with membrane rupture of unknown duration before delivery Spontaneous preterm - Membrane rupture of unknown duration - With chorioamnionitis Spontaneous preterm - Membrane rupture of unknown duration - Without chorioamnionitis Spontaneous preterm - Membrane rupture of unknown duration - No examination of the placenta Spontaneous preterm - Membrane rupture of unknown duration - No clinical evidence of chorioamnionitis No examination of the placenta Spontaneous preterm - Membrane rupture of unknown duration - Unspecified or not known whether placenta examined NSW Perinatal Death Review Database Updated June 2015