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EH20: Newborn health problems, diseases and certain conditions originating in the perinatal period (1998-2020)

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10/12/2021
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National Institute for Health Development
EH20
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ehinfo_en
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Definitions and methodology Cases registered by obstetric care providers.
Data on newborns diagnosed with health problems, diseases and certain conditions originating in the perinatal period were collected from obstetric care providers until 2020 with the annual report “Newborn's morbidity” (previously until 2012 “Pregnant women and newborns”, 2013-2015 “Pregnant women and newborn's illnesses”). Data were provided by maternity wards on cases diagnosed and registered there. The data include both primary and concomitant diagnoses and certain conditions originating in the perinatal period, excluding of Z-diagnoses.
Data were collected when the child was 7 days old or as early as the day the child leaves the hospital, is transferred to another medical institution, or dies before the age of 7 days. The exception is the University of Tartu Hospital since 2015, where the treatment of a newborn with the disease takes place in another department of the same hospital already for the first 7 days, therefore not all diagnoses of children are registered in the maternity ward but also those diagnoses that is diagnosed in another ward (neonatology, children's intensive care).
In 2020, maternity care in Estonia was provided by 13 health care providers. The basis for calculating the morbidity rate is the number of live births in the Estonian Medical Birth Register of the respective year. When using the data, it is important to remember that several diagnosis codes may be registered in one newborn. Also, not all ICD-10 diagnostic codes always mean the presence of a serious illness, but also the registration of a complication, trauma, or minor health problem during childbirth.
For example, the most frequently registered P05-P08 diagnoses are related to the growth of the newborn - the child is either lighter or heavier due to the duration of pregnancy; or unspecified neonatal jaundice (P59), which is usually a transient condition but may be the symptom for another disease. In addition, based on the data collected as aggregated data, it is not possible to extract diagnoses in detail.
Congenital malformations, deformities and the diagnosis of chromosomal abnormalities (Q00-Q99) also include ICD-10 code Q38.1 tongue tear that can be severed by a pediatrician during a simple surgical procedure. The diagnosis of perinatal conditions also includes conditions that cannot be directly considered a neonatal health problem, such as difficulties in breastfeeding a newborn (P92.5), which are more related to the maternal health condition of the mother.