Low perinatal autopsy rate in Malaysia

Time for a change

Geok Chin Tan, Abdul Rahman Hayati, Teck Yee Khong

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Our objectives were to determine the perinatal autopsy rate in a tertiary hospital in Malaysia and to quantify the value of the perinatal autopsy. All stillbirths, miscarriages, therapeutic abortions, and neonatal deaths between January 1, 2004, and August 31, 2009, were identified from the archives. The autopsy findings were compared with the clinical diagnoses. The autopsy reports were also reviewed to determine if it would be possible to improve the quality of the autopsies. There were 807 perinatal deaths, of which 36 (4.5%) included an autopsy. There were ethnic differences in the rate of autopsy, with the lowest rate among the Malays. The autopsy provided the diagnosis, changed the clinical diagnosis, or revealed additional findings in 58.3% of cases. Ancillary testing, such as microbiology, chromosomal analysis, and biochemistry, could improve the quality of the autopsy. This study provides further data on the perinatal autopsy rate from an emerging and developing country. It reaffirms the value of the perinatal autopsy. Attempts must be made to improve on the low autopsy rate while recognizing that the performance of autopsies can be enhanced through the use of ancillary testing.

Original languageEnglish
Pages (from-to)362-368
Number of pages7
JournalPediatric and Developmental Pathology
Volume13
Issue number5
DOIs
Publication statusPublished - Sep 2010

Fingerprint

Malaysia
Autopsy
Therapeutic Abortion
Stillbirth
Spontaneous Abortion
Microbiology
Tertiary Care Centers
Biochemistry
Developing Countries

Keywords

  • Autopsy
  • Emerging country
  • Malaysia
  • Neonatal
  • Perinatal
  • Usefulness

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pathology and Forensic Medicine

Cite this

Low perinatal autopsy rate in Malaysia : Time for a change. / Tan, Geok Chin; Hayati, Abdul Rahman; Khong, Teck Yee.

In: Pediatric and Developmental Pathology, Vol. 13, No. 5, 09.2010, p. 362-368.

Research output: Contribution to journalArticle

Tan, Geok Chin ; Hayati, Abdul Rahman ; Khong, Teck Yee. / Low perinatal autopsy rate in Malaysia : Time for a change. In: Pediatric and Developmental Pathology. 2010 ; Vol. 13, No. 5. pp. 362-368.
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