ArticlePaediatric and perinatal epidemiology2025
Evaluating Perinatal Health in Europe: A Comparison of Routine Population Birth Data Sources.
Article in Paediatric and perinatal epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Factors Influencing Successful Breastfeeding: A Regional Survey and Comparative Review in European and Global Contexts.Children (Basel, Switzerland) · 2026Article
- Identifying pregnancies in routinely collected health data: a scoping review of methods.BMC medical informatics and decision making · 2026Article
- Monitoring childbirth and immediate postpartum care quality: A scoping review of indicators in high-income countries.PloS one · 2026Article
- Socio-Economic Inequalities in Stillbirth and Preterm Birth Rates Across Europe: A Population-Based Study.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Timing of Term Births and Associated Mortality Risks: Ecological Analysis Across 28 European Countries.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Monitoring Perinatal Health in Europe: Strengths and Challenges of the Euro-Peristat Project.Paediatric and perinatal epidemiology · 2025Article
- Perinatal Epidemiology When Data Are Imperfect: Lessons From Studies on Maternal Mortality.Paediatric and perinatal epidemiology · 2025Article
- Evaluation of area based socioeconomic inequalities and neonatal mortality rates in France: national population based study.BMJ medicine · 2025Article
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Authors and funding
16 authors.
Funding
Abstract
backgroundInternational comparisons of population birth data provide essential benchmarks for evaluating perinatal health policies.
objectivesThis study aimed to describe routine national data sources in Europe by their ability to provide core perinatal health indicators.
methodsThe Euro-Peristat Network collected routine national data on a recommended set of core indicators from 2015 to 2021 using a federated protocol based on a common data model with 16 data items. Data providers completed an online questionnaire to describe the sources used in each country. We classified countries by the number of data items they provided (all 16, 15-14, < 14).
resultsA total of 29 out of the 31 countries that provided data responded to the survey. Routine data sources included birth certificates (15 countries), electronic medical records (EMR) from delivery hospitalisations (16 countries), direct entry by health providers (9 countries), EMR from other care providers (7 countries) and Hospital Discharge Summaries (7 countries). Completeness of population coverage was at least 98%, with 17 countries reporting 100%. These databases most often included mothers giving birth in the national territory, regardless of nationality or place of residence (24 countries), whereas others register births to residents only. In 20 countries, routine sources were linked, including linkage between birth and death certificates (16 countries). Countries providing all 16 items (n = 8) were more likely to use EMRs from delivery hospitalisations (100%) compared to 50% and 11% in countries with 15-14 items (n = 12) and < 14 items (n = 9), respectively. Linkage was also more common in these countries (100%) versus 75% and 56%, respectively. Other data source characteristics did not differ by the ability to provide data on core perinatal indicators.
conclusionsThere are wide differences between countries in the data sources used to construct perinatal health indicators in Europe. Countries using EMR linking to other sources had the best data availability.
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