Number of early neonatal deaths with a birth weight of 1000 g or more

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Data set notes

European Health for All database

Indicators: 565

Updated: 18 October 2024

Contact: Data and Digital Health Unit (DDH)

The following abbreviations are used in the indicator titles:

• SDR: age-standardized death rates (see HFA-DB user manual/Technical notes, page 13, for details)

• FTE: full-time equivalent

• PP: physical persons

• PPP$: purchasing power parities expressed in US $, an internationally comparable scale reflecting the relative domestic purchasing powers of currencies.

More information: http://www.euro.who.int/en/data-and-evidence/databases/european-health-for-all-database-hfa-db

Indicator notes

Number of early neonatal deaths with a birth weight of 1000 g or more
Indicator code: E075002.T

The numbers of deaths in infants under 1 week of age in a year (ICD-10) , i.e. at the age of 0 to 6 full days. Only cases with a birth weight of at least 1000 g and unknown birth weight are included. This data item is used to calculate the perinatal mortality rate for international comparison. See ICD-9/10 manual for details. (Data are received from countries for HFA monitoring purposes or extracted from national statistical yearbooks.)_

Country/Area notes

Albania

INSTAT.

Armenia

Source of data: National Health Information Analytic Center, Ministry of Health of the Republic of
Armenia http://moh.am/?section=static_pages/index&id=625&subID=824,29
Data collected annually, reference period: 31 December.

Belarus

January 2001: Elaboration of cases of death taking into account birth-weight being conducted by the
Ministry of Statistics and Analysis of the Republic since 1997. Data on early neonatal death for
1993-1996 were reported on basis on information from medical institutions of Ministry of health
system and considered preliminary and approximate.

Belgium

Source: Statistics Belgium (National Institute for Statistics).

Croatia

Source of data: Croatian Institute for Public Health, Database of births in health care
institutions.
Coverage: Included are only births in health care institutions, irrespective of the place of the
residence of the mother.

Cyprus

Source: Causes of Death data, Health Monitoring Unit, Ministry of Health

Czechia

Source: Czech Statistical Office (CZSO)
In this data, numbers of unknown birth weight are included
2011: 2 cases of unknown birth weigh
2012: 3 cases of unknown birth weight
2013: 0 cases of unknown birth weight
2014: 8 cases of unknown birth weight

Denmark

Source: The Medical Birth Registry, The Danish Health Data Authority.

Estonia

Source: Statistical Office of Estonia.

Finland

Source: Medical Birth Register (MBR), THL (National Institute for Health and Welfare).
Note: From 1987 the MBR data was updated to remove the cases which are born abroad and to include
foreigners not permanently living in Finland (excluded in the data from Vital Statistics Finland).

France

Data are not available.

Georgia

Source: National Centre for Disease Control and Public Health of Georgia (NCDC) (http://www.ncdc.ge)

Germany

Source (1991-1999): Federal Statistical Office, Statistics on the natural movement of the
population, Fachserie 1, Reihe 1.1
Note: From the reporting year 2000, data on early neonatal deaths relating to birth weight are no
longer collected.

Greece

Data are not available.

Hungary

Source: Yearbooks of Demographic and Health Statistics of the Hungarian Central Statistical Office
(KSH).

Iceland

Source: The Icelandic Birth Registration.

Ireland

Source: National Perinatal Reporting System. Figures for the 2014 are provisional.

Israel

Until 1997, excludes cases of unknown weight. Since 1998, includes cases of unknown weight.
Source: Until 2003, Health Division, Central Bureau of Statistics and since 2004 Health Information
Division, Ministry of Health.

Italy

Source: ISTAT.

Lithuania

Source: Health Information Centre of Institute of Hygiene (HI HIC), data of annual report of
maternal hospitals. Since 2010: HI HIC Causes of death register data.

Luxembourg

Source: Direction de la Sante Service des Statistiques.
Definition: dead born foetuses of less than 1000 g are excluded, but those of unknown weight at
birth are included.

Malta

Source: Department of Health Information and Research (National Mortality Register).

Netherlands

Source: The Netherlands Perinatal Registry. Includes the number of deaths, 0-6 days, born after a
gestational age of 22 weeks or more. Data are derived from the yearbook ?Perinatal Care in the
Netherlands? of PRN. Of the primary and secondary obstetric care only a small percentage of the
deaths is missing in the numbers (around 3-5%).

Norway

Source of data: The Norwegian Institute of Public Health.
The Medical Birth Registry of Norway has discovered an error in the internal variable DODKAT, which
concerns the child?s status of living or dead at and after birth. The error influences the
classification of perinatal deaths, in that around 12% of the stillborn born after week 22 were
erroneously classified as early neonatal deaths. This mainly influences the data for the years 2006
? 2011. The Medical Birth Registry has therefore recalculated these indicators for all relevant
years to ensure comparable data. The Norwegian Institute of Public Health reported the corrected
data in 2014/15.

Poland

Source of data: Central Statistical Office.

Portugal

Source of data: National Statistical Institute Coverage: National

Republic of Moldova

This indicator is calculated by the formula: (number of children who died at the age of 0-6 days *
1000) / Number of live births
Source of data: Medical certificate of perinatal death.
Coverage: Data are without Transnistria.

Serbia

Source of data: National Statistical Office.

Slovakia

Source: Statistical Office of the Slovak Republic

Slovenia

Source of data: National Institute of Public Health, Slovenia (NIJZ)

Spain

Data not available

Sweden

Source of data: The National Board of Health and Welfare (NBHW)
The Medical Birth and Malformation Register (NBHW)
www.socialstyrelsen.se/register/halsodataregister/medicinskafodelseregistret/inenglish
Note: Data for 2012 were not delivered from the council of V„rmland, therefore data for the county
of V„rmland 2011 have been used to calculate the national gross number for 2012.

Switzerland

Source of data: FSO Federal Statistical Office, BEVNAT
http://www.bfs.admin.ch/bfs/portal/fr/index/infothek/erhebungen__quellen/blank/blank/bevnat/01.html
Coverage:

Türkiye

Source of data: Public Health Institution of Turkey, Ministry of Health of Turkey.

Turkmenistan

Source of data: Administrative medical statistics, form 19 ?Report on medical care for pregnant
women, women in labour and puerperant?, and form 14 ?Report on hospital activity?, ?Medical
certificate of perinatal death? 0106-2/y.

Ukraine

Source: Centre of Health Statistics, Ministry of Health.
Coverage: Includes only the early neonatal deaths registered in the institutions under the Ministry
of Health.

United Kingdom

Data are not available.

General notes

Understanding Early Neonatal Deaths with a Birth Weight of 1000g or More

Tracking the number of early neonatal deaths among infants with a birth weight of 1000 grams or more is a critical health indicator that sheds light on the effectiveness of perinatal and neonatal care systems across different regions. This metric not only reflects the immediate health status of newborns but also indicates broader socio-economic conditions that affect maternal and infant health. By analyzing these figures, health professionals and policymakers can identify trends, allocate resources effectively, and implement targeted interventions to reduce neonatal mortality rates and improve care standards.

Calculating Early Neonatal Deaths with a Birth Weight of 1000g or More

The calculation of early neonatal deaths for infants weighing 1000 grams or more involves a detailed collection and analysis of hospital and birth registry data. This process includes recording the total number of live births over a specific period and identifying those cases where infants, weighing at least 1000 grams, pass away within the first seven days of life. Accurate data collection and robust reporting systems are essential to ensure the reliability of this health indicator, which serves as a basis for improving neonatal care and reducing mortality rates.

The Significance of Monitoring Early Neonatal Deaths

Monitoring the number of early neonatal deaths in infants with a birth weight of 1000 grams or more is crucial for assessing the quality of neonatal care and the health system's response to the needs of newborns and their mothers. This indicator helps health authorities to pinpoint deficiencies in maternal and neonatal healthcare services, plan effective interventions, and allocate resources where they are most needed. Furthermore, it provides valuable insights into the impact of prenatal care, birth practices, and postnatal care on infant survival rates, thereby guiding public health strategies and policies.

Strengths and Limitations of the Early Neonatal Death Indicator

While the indicator of early neonatal deaths for infants with a birth weight of 1000 grams or more is a valuable tool for health monitoring, it comes with its own set of strengths and limitations.

Strengths

This indicator is crucial for evaluating the effectiveness of the healthcare system in supporting neonatal health. It allows for international comparisons and benchmarking, helping countries to gauge their progress against global standards. Additionally, it aids in the identification of successful healthcare practices and interventions that can be adopted or adapted by other regions. The data derived from this indicator also supports research and funding allocation, making it instrumental in shaping health policies and prioritizing health service improvements.

Limitations

However, the accuracy of this indicator heavily depends on the quality of data collection and reporting systems. In regions where healthcare infrastructure is lacking or data collection is inconsistent, the reliability of this indicator can be compromised. Moreover, it does not account for the deaths of infants weighing less than 1000 grams, who represent a vulnerable group that also requires attention. Additionally, this indicator does not capture the socio-economic, cultural, and environmental factors that might influence neonatal deaths, thus limiting its scope in providing a comprehensive view of neonatal health across different contexts.

Overall, while the indicator of early neonatal deaths with a birth weight of 1000 grams or more is a powerful tool for health assessment and planning, it must be used judiciously, considering its strengths and limitations, to inform effective health policies and interventions.