Volume 11 - Article 13 | Pages 357–394  

Perinatal mortality in the Netherlands. Backgrounds of a worsening international ranking

By Joop Garssen, Anouschka van der Meulen

Abstract

Perinatal mortality rates have dropped sharply in the past few decades, in the Netherlands as well as in all other European countries. However, as the decrease has generally slowed down since the 1980s, the Netherlands has lost its prominent position in the international ranking of countries with favourable perinatal mortality rates. This lower ranking is not only the result of the dialectics of progress, but also the consequence of a relatively restrained use of antenatal diagnostics. In addition, the Netherlands is among the European countries scoring highest on a number of important risk factors.
This article examines the effect on perinatal mortality rates of known risk factors, in particular the presence of non-western foreigners, multiple births and older mothers. With respect to the latter factor, it is concluded that children of older mothers run a significantly higher risk of foetal mortality, whereas babies of young mothers (including women in their early twenties) run a higher risk of infant mortality. For babies of non-western mothers, infant mortality rates are higher, although there are substantial differences between ethnic backgrounds.
First week mortality is most unfavourable for Surinamese and Antillean/Aruban children, and post-neonatal mortality is highest among Turkish and Moroccan babies. The fact that relatively many non-western foreigners from countries with relatively high risks of perinatal mortality have settled in the Netherlands, is one of the reasons for the fall in the international ranking. Lastly, the increase in the number of multiple births has been stronger in the Netherlands than in most other countries. The higher incidence of assisted reproduction explains most of this increase.

Author’s Affiliation

• Joop Garssen - Centraal Bureau voor de Statistiek (CBS), the Netherlands EMAIL
• Anouschka van der Meulen - Centraal Bureau voor de Statistiek (CBS), the Netherlands EMAIL

Other articles by the same author/authors in Demographic Research

150 Years of temperature-related excess mortality in the Netherlands
Volume 21 - Article 14

Fertility of Turkish and Moroccan women in the Netherlands: Adjustment to native level within one generation
Volume 19 - Article 33

The Netherlands:Paradigm or Exception in Western Europe’s Demography?
Volume 7 - Article 12

Most recent similar articles in Demographic Research

Can we estimate crisis death tolls by subtracting total population estimates? A critical review and appraisal
Volume 52 - Article 23    | Keywords: conflict demography, death tolls, demographic methods, historical demography, mortality, mortality crises, mortality estimates, population balance

The use of mobile phone surveys for rapid mortality monitoring: A national study in Burkina Faso
Volume 52 - Article 16    | Keywords: age-specific mortality patterns, data quality, Demographic Health Surveys, direct estimation, health and security crises, low-and-middle-income countries, mobile phones, mortality, sample selection, surveys, under-five mortality

A comprehensive database of estimates and forecasts of Spanish sex–age death rates by climate area, income level, and habitat size (2010–2050)
Volume 52 - Article 1    | Keywords: georeferenced predictions, life tables, longevity, mortality trends, risk factors

Interrogating the quality and completion of mortality mobile phone interviews conducted in Malawi during COVID-19: An examination of interviewer–respondent interactions
Volume 51 - Article 46    | Keywords: audio-recording, LMICs, Malawi, mobile phone survey, mortality, RaMMPS

Excess mortality associated with HIV: Survey estimates from the PHIA project
Volume 51 - Article 38    | Keywords: excess mortality, HIV/AIDS, mortality