Although it is generally accepted that a standardised approach to the collection of perinatal and neonatal data is required, definitions of the most straightforward outcomes such as perinatal and neonatal mortality still vary across the developed world. As such the wide variations seen in neonatal outcomes may be attributable to external influences, for example: differences in definition, ascertainment levels and registration as well as hospital policies regarding delivery and neonatal unit admission, particularly around the limits of viability [1-5]. The evaluation and comparison of neonatal outcomes are used for the clinical governance and performance management of neonatal medicine at many levels: from local to national and international comparisons. Ensuring true ‘like for like’ comparison is therefore of utmost importance.
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