Contents

				Page
Acknowledgements				iii
1	Introduction			1
2	Data collection methodology			3
3	Recent trends in perinatal mortality			4
4	Perinatal mortality surveillance 2004			6
	4.1	Total death notifications		6
	4.2	Mortality in singleton and multiple births		7
	4.3	Cause of death		7
		4.3.1	Stillbirths	7
		4.3.2	Neonatal deaths	8
	4.4	Maternal risk factors		9
		4.4.1	Maternal age	9
		4.4.2	Ethnicity	9
		4.4.3	Deprivation	10
	4.5	Characteristics of the baby		11
		4.5.1	Birth weight	11
		4.5.2	Gestational age	11
	4.6	Commentary on findings		13
5	The postmortem investigation			14
6	Variation in stillbirth and neonatal mortality rates			15
7	Future developments to perinatal mortality surveillance			19
8	Other CEMACH studies reported in 2004 and 2005			20
9	Future CEMACH work			23
10	References			25
Appendix A		CEMACH Perinatal Death Notification form 2004		26
Appendix B		Supplementary tables		28
Appendix C		Additional methodology		31