An analysis of quality of clinical diagnosis of causes of death in infants (under 1 year of life) has been performed basing on the records of 1130 autopsies made in 1981-1998. The diagnosis accuracy, sensitivity, specificity and other quality characteristics have been assessed. The highest accuracy of clinical diagnosis has been found in respect of malformations, fetal hypoxia and natal asphyxia (0.94-0.84). Clinical diagnosis of birth trauma was less precise (0.61). Complex problems of perinatal pathology diagnosis are enlighted. Further improvement in its detection and identification is necessary.
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