A study of the quality of perinatal autopsy in the former northern region. The Northern Perinatal Mortality Survey Steering Group

Br J Obstet Gynaecol. 1998 Jan;105(1):24-8. doi: 10.1111/j.1471-0528.1998.tb09345.x.

Abstract

Objective: To assess the quality of perinatal autopsy.

Design: Review of all reports of post mortem examinations carried out following perinatal deaths from January 1994 to June 1994.

Population: Former Northern Region of England.

Methods: Assessment of post mortem reports concerning their content and interpretation, the assessment carried out by panel comprising a pathologist, obstetrician and paediatrician.

Results: Reports were available for all 104 cases where post mortem examinations had been undertaken, of which 53 (51%) met the minimum standards for such autopsies proposed by the Royal College of Pathologists. Interpretative comments were judged to be adequate in 51 (49%).

Conclusions: The quality of perinatal autopsies is frequently poor. Improvement requires increased awareness of the potential value of the autopsy, and more consultation between pathologists, obstetricians and paediatricians.

MeSH terms

  • Autopsy / standards*
  • Cause of Death
  • Decision Making
  • England
  • Fetal Death / pathology
  • Humans
  • Infant
  • Infant, Newborn
  • Quality of Health Care