Abstract：
Despite efforts to reduce stillbirths and neonatal deaths, inconsistent definitions and reporting practices continue to hamper global progress. Existing data frequently being limited in terms of quality and comparability across countries. This paper addresses this critical issue by outlining the new International Classification of Disease (ICD-11) recommendations for standardized recording and reporting of perinatal deaths to improve data accuracy and international comparison. Key advancements in ICD-11 include using gestational age as the primary threshold to for reporting, clearer guidance on measurement and recording of gestational age, and reporting mortality rates by gestational age subgroups to enable country comparisons to include similar populations (e.g., all births from 154 days [22+0 weeks] or from 196 days [28+0 weeks]). Furthermore, the revised ICD-11 guidance provides further clarification around the exclusion of terminations of pregnancy (induced abortions) from perinatal mortality statistics. Implementing standardized recording and reporting methods laid out in ICD-11 will be crucial for accurate global data on stillbirths and perinatal deaths. Such high-quality data would both allow appropriate regional and international comparisons to be made and serve as a resource to improve clinical practice and epidemiological and health surveillance, enabling focusing of limited programmatic and research funds towards ending preventable deaths and improving outcomes for every woman and every baby, everywhere.
摘要：
尽管努力减少死产和新生儿死亡，不一致的定义和报告做法继续阻碍全球进展。现有数据在质量和各国之间的可比性方面经常受到限制。本文通过概述新的国际疾病分类（ICD-11）建议来解决这一关键问题，以标准化记录和报告围产期死亡，以提高数据准确性和国际比较。ICD-11的主要进步包括使用胎龄作为报告的主要阈值，对测量和记录胎龄有更清晰的指导，并按胎龄亚组报告死亡率，以使国家比较能够包括相似的人群(例如，所有出生时间为154天[22+0周]或196天[28+0周])。此外，修订后的ICD-11指南进一步澄清了将终止妊娠(人工流产)从围产期死亡率统计中排除的问题.实施ICD-11中规定的标准化记录和报告方法对于有关死产和围产期死亡的准确全球数据至关重要。这种高质量的数据既可以进行适当的区域和国际比较，也可以作为改善临床实践以及流行病学和健康监测的资源，使有限的计划和研究资金能够集中于结束可预防的死亡，并改善每个妇女和每个婴儿的成果，无处不在。
